NPIMap

Organization Active NPI

Rose City Clinical Services

  • General Practice Physician
  • Portland, OR
National Provider Identifier
1336823525
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ROSE CITY CLINICAL SERVICES
Practice address
1125 NE 99TH Ave
Portland, OR 97220-9428
Phone
(503) 254-7383
Fax
(503) 254-4568
NPI assigned
Jun 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Haaris Uddin
Title
Cfo
Phone
(204) 478-5609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1125 NE 99TH Ave
Portland, OR 97220-9428

Mailing address

1125 NE 99TH Ave
Portland, OR 97220-9428
Phone (503) 254-7383

National Provider Directory

National Provider Directory

Locations

1125 NE 99th Ave
Portland, OR 97220
Phone (503) 254-7383

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1336823525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NE 99TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209428",
            "telephone_number": "503-254-7383",
            "fax_number": "503-254-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 NE 99TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209428",
            "telephone_number": "503-254-7383",
            "fax_number": "503-254-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "HAARIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "204-478-5609"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Jul 11, 2025; 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.