Active NPI
Pearl Natural Health
- Clinic/Center
- Portland, OR
National Provider Identifier
1740454842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PEARL NATURAL HEALTH
- Practice address
- 511 SW 10TH Avenue, Suite 801
Portland, OR 97205 - Phone
- (503) 230-8973
- Fax
- (503) 230-8978
- NPI assigned
- Apr 18, 2008
- Last updated
- Nov 25, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ellen Goldsmith, L.AC.
- Title
- President
- Phone
- (503) 230-8973
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
511 SW 10TH Avenue, Suite 801
Portland, OR 97205
Mailing address
511 SW 10TH Avenue, Suite 801
Portland, OR 97205
Phone (503) 230-8973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7102759 | Medicaid | OR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Acupuncturist
- Portland, OR
- NPI 1700818069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259107200000",
"number": "1740454842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 SW 10TH AVENUE, SUITE 801",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97205",
"telephone_number": "503-230-8973",
"fax_number": "503-230-8978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 SW 10TH AVENUE, SUITE 801",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97205",
"telephone_number": "503-230-8973",
"fax_number": "503-230-8978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEARL NATURAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-18",
"last_updated": "2009-11-25",
"status": "A",
"authorized_official_last_name": "GOLDSMITH",
"authorized_official_first_name": "ELLEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-230-8973",
"authorized_official_credential": "L.AC."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7102759",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.