NPIMap

Organization Active NPI

Yakima Valley Farm Workers Clinic

Doing business as Rosewood Family Health Center

  • Federally Qualified Health Center (FQHC)
  • Portland, OR
National Provider Identifier
1679526107
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
YAKIMA VALLEY FARM WORKERS CLINIC
Doing business as
Rosewood Family Health Center
Practice address
3530 SE 88TH Ave
Portland, OR 97266-2396
Phone
(503) 772-4335
Fax
(503) 772-4337
NPI assigned
May 18, 2006
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
YAKIMA VALLEY FARM WORKERS CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Christy Trotter
Title
Ceo
Phone
(509) 865-6175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

3530 SE 88TH Ave
Portland, OR 97266-2396

Mailing address

PO Box 190
Toppenish, WA 98948-0190
Phone (503) 772-4335

Other identifiers 2

IdentifierTypeStateIssuer
7126105MedicaidWA
CD9420OtherORRAILROAD MEDICARE

Other names 1

  • Rosewood Family Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040116001020 OR Part B Supplier - Clinic/Group Practice 4385541986 Receives reassigned benefits from 123 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Astoria, OR; Clatskanie, OR; Hermiston, OR; Portland, OR; Salem, OR; Woodburn, OR
O20101117001373 OR Part A Provider - Federally Qualified Health Center (FQHC) 4385541986 Practice locations: Portland, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679526107. Details of each certification follow.

Federally qualified health center certification: CCN 381887

Legal name
YAKIMA VALLEY FARM WORKERS CLINIC
Doing business as
ROSEWOOD FAMILY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 14, 2005
Last certification
Jul 14, 2005
Ownership / control type
Non-profit – other
Organization structure
OtherNon-profit
Incorporated
Feb 28, 1978 in WA
Enrollment address
3530 SE 88TH Ave
Portland, OR 97266-2396

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Fernando Dietsch MD

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sandra April Individual Corporate DirectorBoard Member Jan 1, 2007
Thomas Sak Individual Corporate DirectorBoatd Member Jan 1, 1983
Jose Alberto Nunez Individual Corporate DirectorBoard Member Jan 1, 2001
Lorenzo Cuevas Individual Corporate DirectorBoard Member Jan 1, 2010
Virginia Santillanes Individual Corporate DirectorBoard Member Jan 1, 1987
Sheila Robertson Individual Corporate OfficerBilling Supervisor Jan 1, 2020
W-2 Managing EmployeeBilling Supervisor Jan 1, 2020
Irene Taylor Individual Corporate DirectorBoard Memeber Aug 1, 2019
Martin Torres Individual Corporate DirectorBoard Member Jan 1, 1997
Alfredo Aceves Individual Corporate DirectorBoard Member Jan 1, 1990
Christine Trotter Individual Corporate OfficerCeo Feb 17, 2020
W-2 Managing EmployeeCeo Jan 1, 2020
Roberto Alvizo Individual Corporate DirectorBoard Memeber Jan 1, 2014
Patricia Myers Individual Corporate DirectorBoard Member Jan 1, 2007
Adrian Ochoa Individual Corporate DirectorBoard Memeber May 1, 2021

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lancaster Family Health Center at LancasterSalem, OR, CCN 381971 Federally qualified health center Operational/Managerial Control Jan 9, 2017
Coastal Family Health CenterAstoria, OR, CCN 931016 Federally qualified health center Operational/Managerial Control Mar 1, 2017
Miramar Health Center KennewickKennewick, WA, CCN 941124 Federally qualified health center Operational/Managerial Control Mar 25, 2021

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1679526107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480190",
            "telephone_number": "503-772-4335",
            "fax_number": "503-772-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 SE 88TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972662396",
            "telephone_number": "503-772-4335",
            "fax_number": "503-772-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAKIMA VALLEY FARM WORKERS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YAKIMA VALLEY FARM WORKERS CLINIC",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "TROTTER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-865-6175"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7126105",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD9420",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosewood Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rosewood Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.