Rose City Recovery
Adult Mental Health Clinic/Center in Portland, OR(View on Map)
Legal Business Name
Rose City Recovery
NPI Number
1548087331
NPI Type
Organization
Enumeration Date
09/23/2024
Specialties
(Taxonomies)Name
Code
261QM0850X
261QM0855X
251B00000X
261Q00000X
251S00000X
174200000X
261QM0801X
261QR0800X
261QR0405X
Primary Taxonomy
Yes
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
80 SE MADISON ST STE 210
80 SE MADISON ST STE 210
City
Portland
Portland
State
OR
OR
Postal Code
97214-4527
97214-4527
Country
US
US
Telephone Number
(480) 881-4555
(480) 881-4555
Authorized Official
Name
Mr. Raheem Watson
Title or Position
OWNER/PSS
Telephone Number
(480) 881-4555
Identifiers
Identifier
1205663739
Identifier State
OR
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/23/2024
Provider Address
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