ROSE CITY URGENT CARE AND FAMILY PRACTICE
NPI 1417217894
Clinic/Center in Portland, OR

Active since May 20, 2012
135 NE 102ND AVE, PORTLAND, OR 97220(503) 894-9005(503) 719-4178 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rose City Urgent Care And Family Practice NPPES

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

ROSE CITY URGENT CARE AND FAMILY PRACTICE (NPI 1417217894) is a healthcare organization registered as a clinic/center in Portland, Oregon and active in the NPI registry since May 2012. The organization lists Maria Lynn Sullivan, Business Director, as its authorized official.

NPPES Registry Identity

NPI1417217894
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameROSE CITY MEDICAL LLC
Location Address135 NE 102ND AVEPortland, OR 97220-4167
Mailing Address135 Ne 102nd AvePortland, OR 97220-4167 · (503) 894-9005 · Fax (503) 719-4178
Fax(503) 719-4178
Organization SubpartNo
Authorized OfficialMaria Lynn SullivanBusiness Director · (503) 894-9005
Enumeration DateMay 20, 2012
Last NPPES UpdateFebruary 26, 2016
NPI 1417217894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in OR · 85696897
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 85696897 (OR)
135 NE 102ND AVE, Portland, OR 97220

Other Names 1

Doing Business AsRose City Urgent Care And Family Practice

Other Identifiers 2

Medicaid500646730OR
OtherR167408OR · Medicare Ptan

Other Providers at the Same Location NPPES 9

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

Clinical Medical Laboratory
135 NE 102ND AVE
PORTLAND, OR 97220
Clinic/Center (Federally Qualified Health Center (FQHC))
135 NE 102ND AVE
PORTLAND, OR 97220
Physician Assistant
135 NE 102ND AVE
PORTLAND, OR 97220
Orthopaedic Surgery
135 NE 102ND AVE
PORTLAND, OR 97220
Orthopaedic Surgery
135 NE 102ND AVE
PORTLAND, OR 97220
Nurse Practitioner
135 NE 102ND AVE
PORTLAND, OR 97220
Physician Assistant (Medical)
135 NE 102ND AVE
PORTLAND, OR 97220
Physician Assistant (Surgical)
135 NE 102ND AVE
PORTLAND, OR 97220

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 Medical LLC's NPI number?

The NPI number for Rose City Medical LLC is 1417217894. It was assigned to this organization in the NPPES registry on May 20, 2012. The provider is doing business as Rose City Urgent Care And Family Practice.

Where is Rose City Medical LLC located?

Rose City Medical LLC is located at 135 NE 102nd Ave, Portland, OR 97220. The listed phone number is (503) 894-9005.

What is Rose City Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Rose City Medical LLC was last updated on February 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.