IndividualActive
Miriam Rose, M.D.
NPI 1770812943 · Neuromusculoskeletal Medicine & OMM Physician · Beaverton, OR
Provider details
- NPI number
- 1770812943
- Entity type
- Individual
- Primary specialty
- Neuromusculoskeletal Medicine & OMM PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- MD27475 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4060 Sw 110th Ave
Beaverton, OR 97005-3017
Phone: (503) 819-1215
Approximate (ZIP-level) locationGet directions
Mailing address
4060 Sw 110th Ave
Beaverton, OR 97005-3017
Registry dates
- Enumerated
- 2009-12-16
- Last updated
- 2012-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.