OrganizationActive
Rose Family Medicine, PLLC
NPI 1104176007 · Family Medicine Physician · Vancouver, WA
Provider details
- NPI number
- 1104176007
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Matthew Rose, Physician(360) 861-6433
- License
- OP60287355 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1499 Se Tech Center Pl
Suite 135
Vancouver, WA 98683-5528
Phone: (360) 861-6433
Street-level locationGet directions
Mailing address
1499 Se Tech Center Pl
Vancouver, WA 98683-5528
Registry dates
- Enumerated
- 2012-09-18
- Last updated
- 2014-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.