| Rose Family Medicine, Pllc | |
|
1499 Se Tech Center Pl Suite 135 Vancouver WA 98683-5528 | |
| (360) 861-6433 | |
| Not Available |
| Full Name | Rose Family Medicine, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1499 Se Tech Center Pl, Vancouver, Washington |
| Authorized Official Name and Position | Matthew Howard Rose (PHYSICIAN) |
| Authorized Official Contact | 3608616433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Family Medicine, Pllc 1499 Se Tech Center Pl Suite 135 Vancouver WA 98683-5528 Ph: (360) 861-6433 | Rose Family Medicine, Pllc 1499 Se Tech Center Pl Suite 135 Vancouver WA 98683-5528 Ph: (360) 861-6433 |
| NPI Number | 1104176007 |
|---|---|
| Provider Enumeration Date | 09/18/2012 |
| Last Update Date | 03/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104176007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP60287355 (Washington) | Primary |
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