OrganizationActive
Wild Rose Pediatrics LLC
NPI 1033896048 · Pediatrics Physician · Port Angeles, WA
Provider details
- NPI number
- 1033896048
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christine Rose, Owner(306) 775-4640
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
629 E 8th St
Port Angeles, WA 98362-6223
Phone: (360) 775-4640
Street-level locationGet directions
Mailing address
629 E 8th St
Port Angeles, WA 98362-6223
Registry dates
- Enumerated
- 2023-06-30
- Last updated
- 2023-06-30
- Certified
- 2023-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.