PEARL HEALTH CENTER,PC
NPI 1104918275
Clinic/Center - Primary Care in Portland, OR
About Pearl Health Center,pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEARL HEALTH CENTER,PC (NPI 1104918275) is a healthcare organization registered as a primary care in Portland, Oregon and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through June 12, 2027 and lists Shari S Freshman House, President,nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pearl Health Center,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Pearl Health Center,pc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (16)
Brooklyn, NY 11215
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 38D2283837
Pearl Health Center · Portland, ORFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pearl Health Center,pc's NPI number?
The NPI number for Pearl Health Center,pc is 1104918275. It was assigned to this organization in the NPPES registry on September 28, 2006.
Where is Pearl Health Center,pc located?
Pearl Health Center,pc is located at 721 NW 9th Ave Ste 100A, Portland, OR 97209. The listed phone number is (503) 525-0090.
What is Pearl Health Center,pc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Pearl Health Center,pc enrolled in Medicare?
Yes. Pearl Health Center,pc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pearl Health Center,pc?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 6 Medicare specialties reassign their Medicare billing to Pearl Health Center,pc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8), Chiropractic (3) and Emergency Medicine (2). Of these, 1 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pearl Health Center,pc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 38D2283837) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pearl Health Center,pc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pearl Health Center,pc · NPI 1104918275
Primary Care organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1104918275 (Entity type: Organization)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Shari Freshman House, PRESIDENT,NURSE PRACTITIONER
## Practice location
- **Address:** 721 NW 9TH AVE STE 100A, Portland, OR 97209-3477
- **Phone:** (503) 525-0090 · **Fax:** (971) 244-0219
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Chiropractic (3), Emergency Medicine (2); 1 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
- **Other identifiers:** Medicaid 027741 (OR)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1104918275) · Data from the CMS NPPES public registry.