Healthcare Provider Details
I. General information
NPI: 1053171041
Provider Name (Legal Business Name): FINDING PEARLS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/19/2024
Last Update Date: 03/19/2024
Certification Date: 03/19/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
905 MAIN ST STE 401
KLAMATH FALLS OR
97601-6064
US
IV. Provider business mailing address
905 MAIN ST STE 401
KLAMATH FALLS OR
97601-6064
US
V. Phone/Fax
- Phone: 541-321-0982
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
EMILY
VAZQUEZ
Title or Position: CEO
Credential: LCSW
Phone: 541-321-0982