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Individual

GILLIAN C ROSICKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9427 SW BARNES RD STE 395, PORTLAND, OR 97225-6652
(503) 216-6550
(503) 216-6575
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
096007017RN
OR
363LF0000X
Family Nurse Practitioner
Primary
200050079NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262381
OR
01
P00396908
RR MEDICARE - PHS
OR
Enumeration date
05/20/2006
Last updated
07/28/2025
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