Mark Rose, M.D.
Individual provider Active NPI Emergency Medicine Physician · McMinnville, OR
NPI 1124059548 · NPPES record last updated Dec 19, 2007
Key facts
- NPI
- 1124059548
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD14469 (OR)
- Practice address
- 2700 SE Stratus Ave
McMinnville, OR 97128-6255 - Phone
- (503) 472-6131
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Health West Valley | Past | Accepting new patients | |
| Albany Emergency Physicians Services, PC | Emergency Medicine | Past | Accepting new patients |
| Emergency Medical Associates of McMinnville | Emergency Medicine | Past | Accepting new patients |
| Firstcare Medical Foundation | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD14469 | OR | Yes |
Addresses
Primary practice location
2700 SE Stratus Ave
McMinnville, OR 97128-6255
Mailing address
PO Box 2065
Seattle, WA 98111-2065
Phone (888) 828-3195
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D86800 | Other | GROUP HEALTH | |
| 068783 | Medicaid | OR | |
| 055542001 | Other | BCBS | |
| 57597 | Other | WA L&I | |
| XPY186301 | Medicaid | CA | |
| D86800 | Other | PROVIDENCE | |
| 8202269 | Medicaid | WA | |
| 930027259 | Other | RAILROAD MEDICARE | |
| JM9461 | Other | PACC |
Other providers in McMinnville, OR
- Kenneth Martin Rolfe
- Raicha C Romero Zuniga
- Erica Rose Ronquillo
- Benjamin A. Root
- Jarettsy Rosales Verduzco
- Michael K Rothman
- Molly Rouse
- Sean Roush
- Joshua A Rowley
- Laura Rudeen
All providers in McMinnville, OR · Emergency Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.