Organization
PEARL SURGICENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BRIAN ROSENFIELD M.D. (MEDICAL DIRECTOR)
(503) 771-1883
Entity
Organization
Contact information
Practice address
120 NW 14TH AVE, SUITE 200, PORTLAND, OR 97209-2643
(503) 771-1883
Mailing address
120 NW 14TH AVE, SUITE 200, PORTLAND, OR 97209-2643
(503) 771-1883
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
676749.00
OR
Other
Enumeration date
02/08/2007
Last updated
10/16/2024
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