OrganizationActive
Rose City Medical LLC
NPI 1417217894 · Clinic/Center · Portland, OR
Provider details
- NPI number
- 1417217894
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Maria Sullivan, Business Director(503) 894-9005
- License
- 85696897 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
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
14 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
135 Ne 102nd Ave
Portland, OR 97220-4167
Phone: (503) 894-9005
Fax: (503) 719-4178
Street-level locationGet directions
Mailing address
135 Ne 102nd Ave
Portland, OR 97220-4167
Other names (DBA / former)
- Doing business as
- Rose City Urgent Care and Family Practice
Registry dates
- Enumerated
- 2012-05-20
- Last updated
- 2016-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.