MEDICARE: ROSE CITY INTERNAL MEDICINE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1629696075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROSE CITY INTERNAL MEDICINE PC

Provider Business Mailing Address
First Line	:	5050 NE HOYT ST STE 203
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-2956
Country	:	US
Telephone Number	:	503-230-9224
Fax Number	:	503-230-9201

Provider Business Practice Location Address
First Line	:	5050 NE HOYT ST STE 203
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97213-2956
Country	:	US
Telephone Number	:	503-230-9224
Fax Number	:	503-230-9201

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	JO PATRICK
Credential	:
Telephone Number	:	503-230-9224

Provider Enumeration Date	:	07/13/2020
Last Update Date	:	02/16/2026

Similar Medicare Providers

1477643443 — DR. SEAN MICHAEL FRIEND M.D.
Practice Location Address:

5050 NE HOYT ST STE 203
PORTLAND, OR
97213-2956

Practice Phone: 503-230-9224
Practice Fax: 503-230-9201

1548211873 — DANIEL L KENNEDY RPH
Practice Location Address:

5050 NE HOYT ST
PORTLAND, OR
97213-2956

Practice Phone: 503-215-6296
Practice Fax: 503-215-6459

1730125667 — ROSARIO P BONAFEDE MD
Practice Location Address:

5050 NE HOYT ST , STE 155
PORTLAND, OR
97213-2956

Practice Phone: 503-215-6819
Practice Fax: 503-215-6492

1336172956 — JAMES V SKAVARIL MD
Practice Location Address:

5050 NE HOYT ST STE 203 , SUITE 120
PORTLAND, OR
97213-2956

Practice Phone: 503-230-9224
Practice Fax: 503-230-9201

1235243668 — CREDENA HEALTH LLC
Practice Location Address:

5050 NE HOYT ST STE 142
PORTLAND, OR
97213-2956

Practice Phone: 503-215-6296
Practice Fax: 503-215-6459

1346366523 — NATALIE SQUIRES MESNIER
Practice Location Address:

5050 NE HOYT ST STE 626
PORTLAND, OR
97213-2956

Practice Phone: 503-231-1426
Practice Fax: 503-231-0316

Directions to “ROSE CITY INTERNAL MEDICINE PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.