Gordon F. Rose, PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MD15903 Issued in OR

Legal business name

GORDON F. ROSE, PC

Practice address

544 W Umpqua St Ste 104
Roseburg, OR 97470-2999

Phone

(541) 673-3334

Fax

(541) 673-0814

NPI assigned

Jul 16, 2007

Last updated

Feb 1, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gordon Frederik Rose, MD

Title

President

Phone

(541) 673-3334

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1063611465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 W UMPQUA ST STE 104",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702999",
            "telephone_number": "541-673-3334",
            "fax_number": "541-673-0814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 W UMPQUA ST STE 104",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702999",
            "telephone_number": "541-673-3334",
            "fax_number": "541-673-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON F. ROSE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "FREDERIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-673-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "MD15903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004395",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindy Sue Gomez, NP
• Craig Gooch, RN
• Jeramie Goodell
• Allan Goodin, DPT
• Stacy Goodwin
• Rachel Gordon, NBCC, NCC, LPC
• Katie Janelle Gorman
• Sylvia K Gosline, M.D.
• Razvan I Gosman, MD
• Allison F Gottfried, RD

• Primary Care Clinic/Center in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.