| Raquel Rose, RDN | |
|
2029 Se Jefferson St Ste 103, Milwaukie, OR 97222-7605 | |
| (503) 825-0075 | |
| Not Available |
| Full Name | Raquel Rose |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2029 Se Jefferson St Ste 103, Milwaukie, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386097541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86020670 (Indiana) | Secondary |
| 133V00000X | Dietitian, Registered | 10187067 (Oregon) | Primary |
| Provider Name | Optumcare Portland Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710003140 PECOS PAC ID: 8820986441 Enrollment ID: O20040305000933 |
| Mailing Address | Practice Location Address |
|---|---|
| Raquel Rose, RDN 1331 Lafayette Ave, Oregon City, OR 97045-3814 Ph: (503) 616-0281 | Raquel Rose, RDN 2029 Se Jefferson St Ste 103, Milwaukie, OR 97222-7605 Ph: (503) 825-0075 |
Anna Gianpetro, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3482 Se Harvey St, Milwaukie, OR 97222 Phone: 480-961-2911 | |
Eeva S Gray, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6902 Se Lake Rd, Suite 100, Milwaukie, OR 97267 Phone: 503-786-1149 Fax: 503-786-1170 | |
Gobble Shults & Associates Inc Dietitian Medicare: Medicare Enrolled Practice Location: 6542 Se Lake Rd Ste 202c, Milwaukie, OR 97222 Phone: 503-652-5070 Fax: 800-957-1067 | |
Lois Amy Tobin, RD,CSR,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6902 Se Lake Rd, Suite 302, Milwaukie, OR 97267 Phone: 503-786-1148 Fax: 503-786-1170 | |
Northwest Primary Care Group, Pc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12300 Se Mallard Way, Suite 160, Milwaukie, OR 97222 Phone: 503-659-4777 Fax: 503-652-5223 | |
Nancy Frazeur, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8300 |