Organization
ROSE CITY HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA D CORTAL ND (OWNER)
(503) 960-2162
Entity
Organization
Contact information
Practice address
5308 SE RHONE ST, PORTLAND, OR 97206-2962
(503) 960-2162
(503) 967-7069
Mailing address
5308 SE RHONE ST, PORTLAND, OR 97206-2962
(503) 960-2162
(503) 967-7069
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1917
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609128479
PROVIDER NPI TYPE 1
—
01
—
1917
STATE LICENSE NUMBER
OR
Enumeration date
09/17/2013
Last updated
09/17/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up