THEODORE LEE PEARSON III CADC I
NPI 1508591637
Student in an Organized Health Care Education/Training Program in Portland, OR

Q: What is Theodore Pearson's NPI number?

The NPI number for Theodore Pearson is 1508591637. It was assigned to this individual provider in the NPPES registry on July 21, 2022.

Q: What is Theodore Pearson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Pearson was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since July 21, 2022

1122 NE 122ND AVE # 200, PORTLAND, OR 97230(503) 732-6653 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Theodore Lee Pearson Iii Cadc I NPPES

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

THEODORE LEE PEARSON III CADC I (NPI 1508591637) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since July 2022. He maintains a secondary practice location in Vineyard Haven.

NPPES Registry Identity

NPI1508591637

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameTHEODORE LEE PEARSON IIICredential: CADC I

Location Address1122 NE 122ND AVE # 200Portland, OR 97230-2081

Mailing AddressPo Box 1038West Tisbury, MA 02575-1038 · (503) 475-6246

Phone(503) 732-6653

Sole ProprietorNo

Enumeration DateJuly 21, 2022

Last NPPES UpdateSeptember 26, 2023

NPPES CertifiedSeptember 26, 2023

✔ NPI 1508591637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 20-05-10416 (OR)

1122 NE 122ND AVE # 200, Portland, OR 97230

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Secondary Practice Location 1

Location 1111 Edgartown RdVineyard Haven, MA 02568 · Phone (508) 693-7900

Other Identifiers 1

Other20-05-10416OR · Mhacbo

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 Theodore Pearson's NPI number?

The NPI number for Theodore Pearson is 1508591637. It was assigned to this individual provider in the NPPES registry on July 21, 2022.

Where is Theodore Pearson located?

Theodore Pearson practices at 1122 NE 122nd Ave # 200, Portland, OR 97230. The listed phone number is (503) 732-6653.

What is Theodore Pearson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Theodore Pearson was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.