Organization Active NPI

Rosecity Medical Clinic LLC

  • Primary Care Clinic/Center
  • Happy Valley, OR
National Provider Identifier
1376255612
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ROSECITY MEDICAL CLINIC LLC
Practice address
11397 SE Cascade View CT
Happy Valley, OR 97086-9753
Phone
(503) 780-1107
NPI assigned
Dec 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Authorized official

Name
Rui YangNPI 1346414521
Title
Doctor
Phone
(503) 780-1107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

11397 SE Cascade View CT
Happy Valley, OR 97086-9753

Mailing address

10117 SE Sunnyside Rd Ste F
Happy Valley, OR 97015-7708
Phone (503) 780-1107

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1376255612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10117 SE SUNNYSIDE RD STE F",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970157708",
            "telephone_number": "503-780-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11397 SE CASCADE VIEW CT",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970869753",
            "telephone_number": "503-780-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSECITY MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "RUI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "503-780-1107"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Happy Valley, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.