Charissa Rose is a Psychiatry in Portland, Oregon. Charissa Rose practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Charissa Rose is 1114952355. The last update date is 2020-10-05.
Charissa Rose's current location address is 9205 Sw Barnes Rd, Portland, Oregon. You can contact this provider via phone number 5032162028. The mailing address for Charissa Rose is 9205 Sw Barnes Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charissa Rose |
|---|---|
| Address | 9205 Sw Barnes Rd, Portland, Oregon |
| Phone Number | 5032162028 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114952355 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2020-10-05 |
Provider Mailing Address Detail
| Address | 9205 Sw Barnes Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972256603 |
| Phone Number | 5032162028 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | MD23235 |
|
Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500626951 | OR | -- | |
| 287087 | OR | -- | |
| P00838383 | OR | RR MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Charissa Rose by the Centers for Medicare & Medicaid Services (CMS)?
The Charissa Rose has been assigned the NPI (National Provider Identifier) 1114952355. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Charissa Rose is physically located?
The Charissa Rose is situated at the following address: 9205 Sw Barnes Rd, Portland, OR 972256603.
What is Charissa Rose's area of expertise and its corresponding taxonomy classification?
The Charissa Rose's field of specialization is Psychiatry, and it falls under the taxonomy code 2084P0800X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1114952355 to Charissa Rose?
The Charissa Rose received its 1114952355 assignment from the Centers for Medicare & Medicaid Services on 2006-07-12.
As of what date was the information pertaining to Charissa Rose, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Charissa Rose, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-10-05.
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