Organization
ROSE CITY CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAARIS UDDIN (CFO)
(204) 478-5609
Entity
Organization
Contact information
Practice address
1125 NE 99TH AVE, PORTLAND, OR 97220-9428
(503) 254-7383
(503) 254-4568
Mailing address
1125 NE 99TH AVE, PORTLAND, OR 97220-9428
(503) 254-7383
(503) 254-4568
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
07/11/2025
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