Organization
PEARL NATURAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN GOLDSMITH L.AC. (OWNER, OPERATOR)
(503) 230-8973
Entity
Organization
Contact information
Practice address
111 NE JESSUP ST, PORTLAND, OR 97211-2517
(503) 230-8973
Mailing address
PO BOX 11221, PORTLAND, OR 97211-0221
(503) 230-8973
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700818069
INDIVIDUAL NPI NUMBER
OR
01
—
1700818069
INDIVIDUAL
—
Enumeration date
03/18/2021
Last updated
03/18/2021
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