Organization
ROSE CITY WOMEN'S HEALTH, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DRAKE MD (CO-OWNER)
(503) 215-2100
Entity
Organization
Contact information
Practice address
507 NE 47TH AVE STE 204, PORTLAND, OR 97213-2245
(503) 215-2100
Mailing address
507 NE 47TH AVE STE 204, PORTLAND, OR 97213-2245
(503) 215-2100
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500603643
—
OR
01
—
R145047
MEDICARE PTAN
OR
Enumeration date
09/23/2008
Last updated
05/09/2012
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