| Rose City Therapeutics Llc | |
|
7770 Sw Mohawk St Bldg F Tualatin OR 97062-9191 | |
| (971) 224-4089 | |
| Not Available |
| Full Name | Rose City Therapeutics Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7770 Sw Mohawk St Bldg F, Tualatin, Oregon |
| Authorized Official Name and Position | Jennifer Ann Markovics (NEUROCOUNSELOR AND BUSINESS OWNER) |
| Authorized Official Contact | 9712244089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose City Therapeutics Llc 7770 Sw Mohawk St Bldg F Tualatin OR 97062-9191 Ph: (971) 224-4089 | Rose City Therapeutics Llc 7770 Sw Mohawk St Bldg F Tualatin OR 97062-9191 Ph: (971) 224-4089 |
| NPI Number | 1356096986 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 02/11/2022 |
| Certification Date | 02/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356096986 | NPI | - | NPPES |
| 1508457904 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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