NPIMap

Organization Active NPI

Rose City Health Clinic LLC

  • Health Service Clinic/Center
  • Portland, OR
National Provider Identifier
1275969602
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
1917 Issued in OR
Legal business name
ROSE CITY HEALTH CLINIC LLC
Practice address
5308 SE Rhone St
Portland, OR 97206-2962
Phone
(503) 960-2162
Fax
(503) 967-7069
NPI assigned
Sep 17, 2013
Last updated
Sep 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Authorized official

Name
Dr. Angela D Cortal, ND
Title
Owner
Phone
(503) 960-2162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 1917 OR Primary

Addresses

Primary practice location

5308 SE Rhone St
Portland, OR 97206-2962

Mailing address

5308 SE Rhone St
Portland, OR 97206-2962
Phone (503) 960-2162

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379376000000",
    "number": "1275969602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 SE RHONE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062962",
            "telephone_number": "503-960-2162",
            "fax_number": "503-967-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 SE RHONE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972062962",
            "telephone_number": "503-960-2162",
            "fax_number": "503-967-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A",
        "authorized_official_last_name": "CORTAL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-960-2162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "1917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.