| Rosemary Medicine | |
|
404 Se 80th Ave Portland OR 97215-1528 | |
| (503) 335-3201 | |
| (503) 662-6212 |
| Full Name | Rosemary Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 404 Se 80th Ave, Portland, Oregon |
| Authorized Official Name and Position | Kelly Boyden Owens (OWNER) |
| Authorized Official Contact | 5033353201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosemary Medicine 404 Se 80th Ave Portland OR 97215-1528 Ph: (503) 335-3201 | Rosemary Medicine 404 Se 80th Ave Portland OR 97215-1528 Ph: (503) 335-3201 |
| NPI Number | 1669770996 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 09/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669770996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | NT 00001322 (Washington) | Primary |
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