Provider Demographics
NPI:1750360400
Name:ROSE CARES, INC.
Entity type:Organization
Organization Name:ROSE CARES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKOWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-486-1022
Mailing Address - Street 1:25749 SW CANYON CREEK RD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-6629
Mailing Address - Country:US
Mailing Address - Phone:503-486-1022
Mailing Address - Fax:503-682-7596
Practice Address - Street 1:25749 SW CANYON CREEK RD
Practice Address - Street 2:SUITE 600
Practice Address - City:WILSONVILLE
Practice Address - State:OR
Practice Address - Zip Code:97070-6629
Practice Address - Country:US
Practice Address - Phone:503-486-1022
Practice Address - Fax:503-682-7596
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR080046255N3-ANP-PP261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service