institution
Rose City Health Clinic Llc
Health Service Clinic/Center in Portland, Oregon
NPI 1275969602

Rose City Health Clinic Llc is a Health Service Clinic/Center based in Portland, OR and is specialized in Health Service. Rose City Health Clinic Llc practices in Portland, OR. The NPI Number for Rose City Health Clinic Llc is 1275969602 and holds a License No. 1917 (Oregon).

The current practice location address for Rose City Health Clinic Llc is 5308 Se Rhone St, Portland, OR and can be reached out via phone at 503-960-2162 and via fax at 503-967-7069.

Location: 5308 Se Rhone St, Portland, OR, 97206-2962
institution
Provider Profile Details
NPI Number
1275969602
Provider Name
Rose City Health Clinic Llc
Credential
Provider Entity Type
Organization
Address
5308 Se Rhone St, Portland, OR, 97206-2962
Phone Number
503-960-2162
Fax Number
503-967-7069
Provider Enumeration Date
09/17/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1917 01 OR STATE LICENSE NUMBER
1609128479 01 PROVIDER NPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
5308 Se Rhone St
City
State
Zip
97206-2962
Phone Number
503-960-2162
Fax Number
503-967-7069
person
Provider Business Mailing Address Details
Address
5308 Se Rhone St
City
State
Zip
97206-2962
Phone Number
503-960-2162
Fax Number
503-967-7069
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
1917 (Oregon)
Definition
Definition to come...
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