Organization
PEARL NATURAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN GOLDSMITH L.AC. (PRESIDENT)
(503) 230-8973
Entity
Organization
Contact information
Practice address
511 SW 10TH AVENUE, SUITE 801, PORTLAND, OR 97205
(503) 230-8973
(503) 230-8978
Mailing address
511 SW 10TH AVENUE, SUITE 801, PORTLAND, OR 97205
(503) 230-8973
(503) 230-8978
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7102759
—
OR
Enumeration date
04/18/2008
Last updated
11/25/2009
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