Organization
ROSE CITY BREAST CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA L WALLINGFORD (ADMINISTRATOR)
(503) 661-9700
Entity
Organization
Contact information
Practice address
831 NW COUNCIL DR, SUITE 301, GRESHAM, OR 97030-3721
(503) 661-9700
(503) 661-9800
Mailing address
831 NW COUNCIL DR, SUITE 301, GRESHAM, OR 97030-3721
(503) 661-9700
(503) 661-9800
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD15055
OR
Other
Enumeration date
12/13/2007
Last updated
09/25/2008
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