Rose City Urgent Care And Family Practice
LBN: Rose City Medical Llc
Rose City Urgent Care And Family Practice is an health care organization with primary practice located at 135 Ne 102Nd Ave , Portland OR 97220-4167. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty.
Rose City Medical Llc can be contacted via phone (503) 894-9005, or through Sullivan, Maria Lynn via phone (503) 894-9005.
Contact Information
Primary practice address
135 Ne 102Nd Ave
Portland OR 97220-4167
Phone: (503) 894-9005
Fax: (503) 719-4178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 85696897 | Oregon |
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | 85696897 | Oregon |
Profile Details
| NPI number | 1417217894 |
|---|---|
| LBN Legal business name | Rose City Medical Llc |
| DBA Doing business as | Rose City Urgent Care And Family Practice |
| Authorized official | Sullivan, Maria Lynn |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2012 |
| Last updated | Feb 26th, 2016 - about 8 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417217894 | NPPES |
| Oregon | MEDICAID | 500646730 | |
| Oregon | Other | R167408 |
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