| Rose City Therapeutics Llc | |
|
7140 Sw Fir Loop Ste 125 Tigard OR 97223-8021 | |
| (503) 563-3093 | |
| Not Available |
| Full Name | Rose City Therapeutics Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7140 Sw Fir Loop Ste 125, Tigard, Oregon |
| Authorized Official Name and Position | Jams Ansel Markovics (NEUROCOUNSELOR AND BUSINESS OWNER) |
| Authorized Official Contact | 5035633090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose City Therapeutics Llc 170 E Fairfield St Gladstone OR 97027-2110 Ph: (585) 770-0691 | Rose City Therapeutics Llc 7140 Sw Fir Loop Ste 125 Tigard OR 97223-8021 Ph: (503) 563-3093 |
| NPI Number | 1356096986 |
|---|---|
| Provider Enumeration Date | 02/11/2022 |
| Last Update Date | 05/13/2025 |
| Certification Date | 05/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356096986 | NPI | - | NPPES |
| 1508457904 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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