# PEARL SURGICENTER, LLC

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

## Provider details

- **NPI number:** 1972397784
- **Authorized official:** EMILY ANN JONES (OFFICE MANAGER)
- **Authorized official phone:** (503) 771-1883

## Contact information

- **Practice address:** 16985 NW CORNELL RD, BEAVERTON, OR 97006-5639
- **Practice address phone:** (503) 771-1883
- **Practice address fax:** (503) 771-0438
- **Mailing address:** 16985 NW CORNELL RD, BEAVERTON, OR 97006-5639
- **Mailing address phone:** (503) 771-1883
- **Mailing address fax:** (503) 771-0438

## Taxonomy

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

## Other

- **Enumeration date:** 04/07/2025
- **Last updated:** 04/07/2025