Individual
DR. ROSALYN GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, FNP-BC
Contact information
Practice address
6542 SE LAKE RD, #202, MILWAUKIE, OR 97222-2244
(503) 654-5636
Mailing address
6542 SE LAKE RD, #202, MILWAUKIE, OR 97222-2244
(503) 654-5636
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201250113NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303006700
—
FL
Enumeration date
01/09/2006
Last updated
11/19/2014
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