Provider Demographics
NPI:1801250436
Name:JOIA WOMEN'S HEALTHCARE
Entity type:Organization
Organization Name:JOIA WOMEN'S HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TUESDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:503-998-4383
Mailing Address - Street 1:1500 SW 5TH AVE UNIT 502
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-5419
Mailing Address - Country:US
Mailing Address - Phone:503-998-4383
Mailing Address - Fax:
Practice Address - Street 1:2332 NW IRVING ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3225
Practice Address - Country:US
Practice Address - Phone:503-847-9956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-10
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR162069207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORDO162069OtherSTATE LICENSE
OR500672406Medicaid
ORR175802OtherMEDICARE NUMBER
1043650682OtherNPI
FP3966237OtherDEA