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Rose City Medical LLC

Clinic/Center in Portland, OR · enumerated 2012 · authorized official Maria Sullivan, Business Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417217894

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Rose City Medical LLC
Other name <Unavail>
Practice address 135 Ne 102nd Ave, Portland, OR, 97220
Phone (503) 894-9005
Fax (503) 719-4178
Enumeration date May 20, 2012
Last updated in NPPES Feb 26, 2016

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License 85696897 (OR) Primary
261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities · License 85696897 (OR) Secondary

Authorized official

Name Maria Sullivan
Title Business Director
Phone (503) 894-9005

Other identifiers

Identifier Type State Issuer
500646730 Medicaid OR -
R167408 Other OR MEDICARE PTAN

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Rose City Medical LLC?
The NPI for Rose City Medical LLC is 1417217894, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Rose City Medical LLC?
NPPES lists Maria Sullivan (Business Director) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-02-26.