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PEARL SURGICENTER, LLC
NPI 1407997125
Clinic/Center - Ambulatory Surgical in Portland, OR

Active since February 08, 2007CLIA 38D2312689 · Waiver
120 NW 14TH AVE, SUITE 200, PORTLAND, OR 97209(503) 771-1883 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pearl Surgicenter, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEARL SURGICENTER, LLC (NPI 1407997125) is a healthcare organization registered as an ambulatory surgical in Portland, Oregon and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through October 15, 2026, maintains a secondary practice location in Beaverton, and lists Richard Brian Rosenfield, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1407997125
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePEARL SURGICENTER, LLC
Location Address120 NW 14TH AVE, SUITE 200Portland, OR 97209-2643
Mailing Address120 Nw 14th Ave, Suite 200Portland, OR 97209-2643 · (503) 771-1883
Phone(503) 771-1883
Organization SubpartNo
Authorized OfficialRichard Brian RosenfieldMedical Director · (503) 771-1883
Enumeration DateFebruary 8, 2007
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1407997125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in OR · 676749.00
120 NW 14TH AVE, Portland, OR 97209
Open in Google Maps ↗

Secondary Practice Location 1

Location 116985 NW Cornell RdBeaverton, OR 97006-5639 · Phone (503) 771-1883

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Providence Health Plan, Regence BlueCross BlueShield of Oregon.Insurance ›

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 38D2312689

Pearl Surgicenter LLC · Beaverton, OR
Active · expires Oct 15, 2026
CLIA Number38D2312689
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorRichard Rosenfield
Laboratory Phone(503) 771-1883
Laboratory LocationPearl Surgicenter LLC16985 NW Cornell Rd, Beaverton, OR 97006
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of spinal neurostimulator electrode array through skin 63650
This procedure involves placing a small device, called a neurostimulator electrode array, under your skin near your spine. It delivers mild electrical signals to your spinal cord, helping to manage chronic pain.
17 services11 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
16 services11 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
13 services13 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEE E. DORFMAN DO, MS
Anesthesiology
120 NW 14TH AVE, SUITE 300
PORTLAND, OR 97209
Multnomah County (503) 299-9906
MR. DARIN E BRANDT DO
Anesthesiology
120 NW 14TH AVE, STE 300
PORTLAND, OR 97209
Multnomah County (503) 299-9906
DR. MICHELLE L LOTTO MD
Anesthesiology
120 NW 14TH AVE, STE 300
PORTLAND, OR 97209
Multnomah County (503) 299-9906
REGINALD D. BRUSS MD
Anesthesiology
120 NW 14TH AVE, SUITE 300
PORTLAND, OR 97209
Multnomah County (503) 299-9906
DR. COLLIN S KAEDER MD
Anesthesiology
120 NW 14TH AVE, STE 300
PORTLAND, OR 97209
Multnomah County (503) 299-9906
DR. IAN K. EHRLICH MD
Anesthesiology
120 NW 14TH AVE, SUITE 300
PORTLAND, OR 97209
Multnomah County (503) 299-9906
DR. TRACEY I. BERRY MD
Anesthesiology
120 NW 14TH AVE, SUITE 300
PORTLAND, OR 97209
Multnomah County (503) 299-9906
DR. IAN CARTWRIGHT MD
Anesthesiology
120 NW 14TH AVE, SUITE 300
PORTLAND, OR 97209
Multnomah County (503) 299-9906

Frequently 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 Surgicenter, LLC's NPI number?

The NPI number for Pearl Surgicenter, LLC is 1407997125. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Pearl Surgicenter, LLC located?

Pearl Surgicenter, LLC is located at 120 NW 14th Ave Suite 200, Portland, OR 97209. The listed phone number is (503) 771-1883.

What is Pearl Surgicenter, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Pearl Surgicenter, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2312689) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pearl Surgicenter, LLC accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Pearl Surgicenter, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pearl Surgicenter, LLC was last updated on October 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.