Charissa Rose
Medical Specialty
Professional ID
- NPI: 1114952355
- PECOS ID: 3072570977
- Enrollment ID: I20041213000460
- Credential(MD, DO, DPM): MD
- Medical School: Oregon Health Sciences University School Of Medicine
- Medical School Graduation Year: 1994
Hospital Service
- Hospital CCN1: 380004
- Business Name (LBN)1: Providence St Vincent Medical Center
Medical Practices
- Organization Name: Providence Health And Services - Oregon
- Group Practice ID assigned by PECOS: 0648183608
- Number of Group Practice member: 991
Location
- Address1: 12442 Sw Scholls Ferry
- Address2: Rd Suite 106
- City: Tigard
- State: Oregon
- Zip Code: 97223
- Phone Number: (503)537-1508
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):