Individual provider · Type 1 NPI

Pepper Burner

Specialist · Portland, OR

NPI number 1952211096 Active

Practice location

2031 SE Belmont St
Portland, OR 97214-2812

Call (405) 532-1071 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XBAP-E-10274752 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1952211096

Pepper Burner's National Provider Identifier is 1952211096, issued on Sep 10, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Sep 10, 2026.