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ROSE FAMILY MEDICINE, PLLC
NPI 1104176007
Family Medicine in Vancouver, WA

Active since September 18, 2012
1499 SE TECH CENTER PL, SUITE 135, VANCOUVER, WA 98683(360) 861-6433 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rose Family Medicine, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE FAMILY MEDICINE, PLLC (NPI 1104176007) is a healthcare organization registered as a family medicine in Vancouver, Washington and active in the NPI registry since September 2012. The organization lists Matthew Howard Rose, Physician, as its authorized official.

NPPES Registry Identity

NPI1104176007
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameROSE FAMILY MEDICINE, PLLC
Location Address1499 SE TECH CENTER PL, SUITE 135Vancouver, WA 98683-5528
Mailing Address1499 Se Tech Center Pl, Suite 135Vancouver, WA 98683-5528 · (360) 861-6433
Phone(360) 861-6433
Organization SubpartNo
Authorized OfficialMatthew Howard RosePhysician · (360) 861-6433
Enumeration DateSeptember 18, 2012
Last NPPES UpdateMarch 19, 2014
✔ NPI 1104176007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · OP60287355
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1499 SE TECH CENTER PL, Vancouver, WA 98683
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC LILLIBRIDGE
Counselor (Mental Health)
1499 SE TECH CENTER PL
VANCOUVER, WA 98683
Clark County (360) 713-2533

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose Family Medicine, PLLC's NPI number?

The NPI number for Rose Family Medicine, PLLC is 1104176007. It was assigned to this organization in the NPPES registry on September 18, 2012.

Where is Rose Family Medicine, PLLC located?

Rose Family Medicine, PLLC is located at 1499 SE Tech Center Pl Suite 135, Vancouver, WA 98683. The listed phone number is (360) 861-6433.

What is Rose Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Rose Family Medicine, PLLC was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.