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NPI Code Detail

MEDICARE: DR. ALICIA MARIE ROSS M.D.

MEDICARE: DR. ALICIA MARIE ROSS M.D.
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
1207RC0000XCardiovascular Disease PhysicianMD22980OR
2207RA0001XAdvanced Heart Failure and Transplant Cardiology PhysicianMD22980OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811053911
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALICIA MARIE ROSS M.D.
Provider Business Mailing Address
First Line : PO BOX 3158
Second Line :
City : PORTLAND
State : OR
Zip : 97208-3158
Country : US
Telephone Number : 503-215-6494
Fax Number :
Provider Business Practice Location Address
First Line : 1304 MONTELLO AVE
Second Line :
City : HOOD RIVER
State : OR
Zip : 97031-1544
Country : US
Telephone Number : 541-387-1950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2006
Last Update Date : 06/20/2023

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Directions to “ DR. ALICIA MARIE ROSS M.D.” Practice Location

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