Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rose City Breast Care, LLC

Organization Surgery Physician · NPI 1639352594

Rose City Breast Care, LLC is a Surgery Physician in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

831 NW Council Dr Ste 301
Gresham, OR 97030-3721
Phone: (503) 661-9700
Fax: (503) 661-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD15055 (OR)

Record details

NPI number1639352594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rhonda Wallingford — Administrator · (503) 661-9700
NPI enumeratedDecember 13, 2007
Last updated in NPPESSeptember 25, 2008
Mailing address831 Nw Council Dr, Suite 301, Gresham, OR 97030-3721

Other providers in Gresham