Rose Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OP60287355 Issued in WA

Legal business name

ROSE FAMILY MEDICINE, PLLC

Practice address

1499 SE Tech Center PL
Suite 135
Vancouver, WA 98683-5528

Phone

(360) 861-6433

NPI assigned

Sep 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Howard Rose, D.O.NPI 1013144740

Title

Physician

Phone

(360) 861-6433

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Howard Rose, D.O.

  • Family Medicine Physician
  • Vancouver, WA
  • NPI 1013144740
  NPD (past) Authorized official

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1104176007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 SE TECH CENTER PL",
            "address_2": "SUITE 135",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835528",
            "telephone_number": "360-861-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 SE TECH CENTER PL",
            "address_2": "SUITE 135",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835528",
            "telephone_number": "360-861-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "360-861-6433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60287355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rooted Spruce Massage and Bodywork
• Roots.
• Lorile Ellen Roper
• Charis Rosales, MSW, LICSW, MHP
• Krista F Roscoe, ARNP
• Rose Rock Bodywork
• Andrew Richard Rose
• Deanna Rose, RDH BA
• Gary A Rose
• Lawrence Hayes Rose, MD

• Family Medicine Physician in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.