OrganizationActive
Rose City Breast Care, LLC
NPI 1639352594 · Surgery Physician · Gresham, OR
Provider details
- NPI number
- 1639352594
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Rhonda Wallingford, Administrator(503) 661-9700
- License
- MD15055 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
831 Nw Council Dr
Suite 301
Gresham, OR 97030-3721
Phone: (503) 661-9700
Fax: (503) 661-9800
Street-level locationGet directions
Mailing address
831 Nw Council Dr
Gresham, OR 97030-3721
Registry dates
- Enumerated
- 2007-12-13
- Last updated
- 2008-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.