ROSE CITY MEDICAL LLC NPI 1417217894

NPI Information

ROSE CITY MEDICAL LLC is a clinic center in Portland, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ROSE CITY MEDICAL LLC NPI is 1417217894. The provider is registered as an organization entity type.
The provider Is Doing Business As Rose City Urgent Care And Family Practice.

The provider's business location address is:

135 NE 102ND AVE
PORTLAND, OR
ZIP 97220-167
Phone: (503) 894-9005
Fax: (503) 719-4178

The provider's authorized official is Maria Lynn Sullivan .
The authorized official title is Business Director and has the following contact phone number (503) 894-9005.

The enumeration date for this NPI number is 5/20/2012 and was last updated on 2/26/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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