Gross, Rosalyn

Gross, Rosalyn is an individual health care provider with primary practice located at 6542 Se Lake Rd #202, Milwaukie OR 97222-2244. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gross, Rosalyn can be contacted via phone (503) 654-5636.

Contact Information

Primary practice address
6542 Se Lake Rd #202 Milwaukie OR 97222-2244
Phone: (503) 654-5636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201250113NP Oregon

Profile Details

NPI number 1336127398
LBN Legal business name Gross, Rosalyn
Credentials ARNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Nov 19th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336127398 NPPES
Florida MEDICAID 303006700

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