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ROSE CITY CLINICAL SERVICES
NPI 1336823525
General Practice in Portland, OR

Active since June 09, 2023
1125 NE 99TH AVE, PORTLAND, OR 97220(503) 254-7383(503) 254-4568 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2025, Jun 9, 2023 (2 updates tracked since 2023).

About Rose City Clinical Services NPPES

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

ROSE CITY CLINICAL SERVICES (NPI 1336823525) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since June 2023. The organization lists Haaris Uddin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1336823525
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameROSE CITY CLINICAL SERVICES
Location Address1125 NE 99TH AVEPortland, OR 97220-9428
Mailing Address1125 Ne 99th AvePortland, OR 97220-9428 · (503) 254-7383 · Fax (503) 254-4568
Phone(503) 254-7383
Fax(503) 254-4568
Organization SubpartNo
Authorized OfficialHaaris UddinCfo · (204) 478-5609
Enumeration DateJune 9, 2023
Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1336823525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1125 NE 99TH AVE, Portland, OR 97220
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Rose City Clinical Services carries, from the Medicare DMEPOS supplier directory.

Rose City Clinical Services

DMEPOS supplier · Portland, OR
✔

Accepts Medicare assignment

Rose City Clinical Services agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20305355
Medicare Participant SinceSeptember 5, 2023
Supplier Location1125 NE 99th AvePortland, OR 97220
Phone(503) 254-7383
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Infusion Drugs
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

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

ROSE CITY PHARMACY LTC
Pharmacy (Long Term Care Pharmacy)
1125 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 254-7383
ROSE CITY PHARMACY
Pharmacy (Community/Retail Pharmacy)
1125 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 254-7383
KIM D WHEELER RPH
Pharmacist
1125 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 254-7383
GAIL SANDRA SMITH RPH
Pharmacist
1125 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 254-7383
ALISON KACHUCK PHARMD
Pharmacist
1125 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 254-7383
DR. JEFFERY DALE FORTNER PHARM.D.
Pharmacist
1125 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 254-7383
DR. MARY CAO PHARMD
Pharmacist
1125 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 254-7383

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 City Clinical Services's NPI number?

The NPI number for Rose City Clinical Services is 1336823525. It was assigned to this organization in the NPPES registry on June 9, 2023.

Where is Rose City Clinical Services located?

Rose City Clinical Services is located at 1125 NE 99th Ave, Portland, OR 97220. The listed phone number is (503) 254-7383.

What is Rose City Clinical Services's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Rose City Clinical Services accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Rose City Clinical Services accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Rose City Clinical Services was last updated on July 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.