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General NPI Number Information
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NPI Number | 1750360400
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Entity Type | Organization
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Legal Business Name | ROSE CARES, INC.
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25749 SW CANYON CREEK RD SUITE 600
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City | WILSONVILLE
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State | OR
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Zip | 97070-6629
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Country | US
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Telephone | 503-486-1022
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Fax | 503-682-7596
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Provider Business Mailing Address
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Address Line | 25749 SW CANYON CREEK RD SUITE 600
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City | WILSONVILLE
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State | OR
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Zip | 97070-6629
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Country | US
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Telephone | 503-486-1022
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Fax | 503-682-7596
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KIMBERLY MCKOWN
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Credential |
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Telephone | 503-486-1022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 080046255N3-ANP-PP
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License Number State | OR
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