Rose City Breast Care, LLC

NPI #1639352594 in Gresham, Oregon

Provider Information

NPI Number: 1639352594
Entity Type: Organization
Organization Name: Rose City Breast Care, LLC
Primary Specialty: Surgery
Enumeration Date: Dec 13, 2007
Last Updated: Sep 25, 2008

Practice Location

Address: 831 NW COUNCIL DR
Address 2: SUITE 301
City: Gresham
State: Oregon
ZIP Code: 97030-3721
Phone: (503) 661-9700

Authorized Official

Name: RHONDA L WALLINGFORD
Title: ADMINISTRATOR
Phone: (503) 661-9700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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