| Rosewood Family Health Center | |
|
3530 Se 88th Ave Portland OR 97266-2396 | |
| (503) 772-4335 | |
| (503) 772-4337 |
| Full Name | Rosewood Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 3530 Se 88th Ave, Portland, Oregon |
| Authorized Official Name and Position | Christy Trotter (CEO) |
| Authorized Official Contact | 5098656175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosewood Family Health Center Po Box 190 Toppenish WA 98948-0190 Ph: (503) 772-4335 | Rosewood Family Health Center 3530 Se 88th Ave Portland OR 97266-2396 Ph: (503) 772-4335 |
| NPI Number | 1679526107 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 03/21/2023 |
| Medicare PECOS PAC ID | 4385541986 |
|---|---|
| Medicare Enrollment ID | O20101117001373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679526107 | NPI | - | NPPES |
| 7126105 | Medicaid | WA | |
| CD9420 | Other | OR | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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