Organization
PEARL INTEGRATIVE MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN MARIE PETERS ND (OWNER/PHYSICIAN)
(503) 341-4563
Entity
Organization
Contact information
Practice address
620 SE OAK ST STE E, HILLSBORO, OR 97123-4160
(503) 747-3096
(503) 747-3735
Mailing address
620 SE OAK ST STE E, HILLSBORO, OR 97123-4160
(503) 747-3096
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
1401
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841359882
TYPE 1 NPI
—
Enumeration date
05/17/2017
Last updated
07/21/2022
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