=====================================================
General NPI Number Information
=====================================================
NPI Number | 1700727096
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE PERPETUAL DAWN LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/02/2026
-----------------------------------------------------
Last Update Date | 04/02/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7642 SW CAPITOL HWY
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97219-2437
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 971-319-4466
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3212 SE 9TH AVE APT 5
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97202-2544
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 971-319-4466
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MADELEINE POPE
-----------------------------------------------------
Credential | LAC
-----------------------------------------------------
Telephone | 971-319-4466
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------