NPIMap

Organization Active NPI

Rose City Clinic LLP

  • Internal Medicine Physician
  • Portland, OR
National Provider Identifier
1689739757
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD19915 Issued in OR
Legal business name
ROSE CITY CLINIC LLP
Practice address
5635 NE Alameda St
Portland, OR 97213-3421
Phone
(503) 282-0979
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Dr. Sean Michael Friend, M.D.
Title
Owner
Phone
(503) 282-0979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD19915 OR Primary

Addresses

Primary practice location

5635 NE Alameda St
Portland, OR 97213-3421

Mailing address

5635 NE Alameda St
Portland, OR 97213-3421
Phone (503) 282-0979

National Provider Directory

National Provider Directory

Locations

5635 NE Alameda St
Portland, OR 97213
Phone (503) 282-0979

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1689739757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 NE ALAMEDA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133421",
            "telephone_number": "503-282-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 NE ALAMEDA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972133421",
            "telephone_number": "503-282-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY CLINIC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "FRIEND",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-282-0979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD19915",
            "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 Mar 21, 2011; 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.