| Rose City Clinical Services | |
|
1125 Ne 99th Ave Portland OR 97220-9428 | |
| (503) 254-7383 | |
| (503) 254-4568 |
| Full Name | Rose City Clinical Services |
|---|---|
| Speciality | General Practice |
| Location | 1125 Ne 99th Ave, Portland, Oregon |
| Authorized Official Name and Position | William Cao (PRESIDENT) |
| Authorized Official Contact | 5032547383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose City Clinical Services 1125 Ne 99th Ave Portland OR 97220-9428 Ph: (503) 254-7383 | Rose City Clinical Services 1125 Ne 99th Ave Portland OR 97220-9428 Ph: (503) 254-7383 |
| NPI Number | 1336823525 |
|---|---|
| Provider Enumeration Date | 06/09/2023 |
| Last Update Date | 06/09/2023 |
| Medicare PECOS PAC ID | 6406219658 |
|---|---|
| Medicare Enrollment ID | O20230906000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336823525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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