| Rosewood Family Health Center Dental | |
|
3530 Se 88th Ave Portland OR 97266-2396 | |
| (503) 722-4335 | |
| Not Available |
| Full Name | Rosewood Family Health Center Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3530 Se 88th Ave, Portland, Oregon |
| Authorized Official Name and Position | Christy Christy Bracewell-trotter (CEO) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosewood Family Health Center Dental Po Box 190 Toppenish WA 98948-0190 Ph: (509) 865-6175 | Rosewood Family Health Center Dental 3530 Se 88th Ave Portland OR 97266-2396 Ph: (503) 722-4335 |
| NPI Number | 1780380519 |
|---|---|
| Provider Enumeration Date | 02/02/2023 |
| Last Update Date | 03/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780380519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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