PEARL SURGICENTER, LLC – NPI #1407997125
Clinic/Center

PEARL SURGICENTER, LLC is an AHC clinic located in PORTLAND, OR. NPPES has assigned the NPI number 1407997125 to PEARL SURGICENTER, LLC on February 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Oct 16, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEARL SURGICENTER, LLC below.

NPI Profile for
PEARL SURGICENTER, LLC

NPI Number
1407997125
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEARL SURGICENTER, LLC
Primary location
120 NW 14TH AVE
SUITE 200
PORTLAND, OR 97209-2643
Phone: (503) 771-1883 Fax:
1 Other location(s):
16985 NW Cornell Rd
Beaverton, OR 97006-5639
Phone: (503) 771-1883
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICHARD ROSENFIELD
MEDICAL DIRECTOR
Phone: (503) 771-1883
Updated
Certification Date
Oct 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 OR 676749.00

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.