| Rose City Family Medicine, Pc | |
|
7240 Ne Sandy Blvd Portland OR 97213-5741 | |
| (503) 335-8700 | |
| (503) 445-6695 |
| Full Name | Rose City Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7240 Ne Sandy Blvd, Portland, Oregon |
| Authorized Official Name and Position | John T Pham (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5033358700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose City Family Medicine, Pc 7240 Ne Sandy Blvd Portland OR 97213-5741 Ph: (503) 335-8700 | Rose City Family Medicine, Pc 7240 Ne Sandy Blvd Portland OR 97213-5741 Ph: (503) 335-8700 |
| NPI Number | 1891964409 |
|---|---|
| Provider Enumeration Date | 02/27/2008 |
| Last Update Date | 08/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891964409 | NPI | - | NPPES |
| 226856 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO23388 (Oregon) | Primary |
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