Robert A Rose

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

201405725 Issued in OR

Practice address

2365 SW Cedar Hills Blvd
Portland, OR 97225-4534

Phone

(503) 297-7000

NPI assigned

Sep 25, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Visiting Angels

  • In Home Supportive Care Agency
  • Portland, OR
  • NPI 1699144220
  NPD (past)

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740799592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15095 SW WEIR RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076108",
            "telephone_number": "971-330-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 SW CEDAR HILLS BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972254534",
            "telephone_number": "503-297-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1493 N Shepherd Rd",
            "address_purpose": "LOCATION",
            "city": "Washougal",
            "state": "WA",
            "postal_code": "986718327",
            "country_code": "US",
            "telephone_number": "360-606-3620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSE",
        "first_name": "ROBERT",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "OR",
            "license": "201405725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ME401E9R00",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Rose
• Melissa Rose, M.A. CCC-SLP
• Nathan Rose
• Patricia A Rose, RD,CSP,LD
• Paul D Rose, MD
• Sage Delegato Rose
• Sarah Rose
• Shawna Nicole Rose, LCSW
• Tara Rose
• Trystan Rose

• Registered Nurse First Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse First Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.