# PEARL SURGICENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407997125
- **Authorized official:** RICHARD BRIAN ROSENFIELD M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (503) 771-1883

## Contact information

- **Practice address:** 120 NW 14TH AVE, SUITE 200, PORTLAND, OR 97209-2643
- **Practice address phone:** (503) 771-1883
- **Mailing address:** 120 NW 14TH AVE, SUITE 200, PORTLAND, OR 97209-2643
- **Mailing address phone:** (503) 771-1883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 676749.00 | OR | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 10/16/2024