DR. SUSAN S. ROSE (NPI# 1750318788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750318788 |
| Entity Type | Individual |
| Full Name | DR. SUSAN S. ROSE |
| Credential | PHD, GCNS-BC, PMHNP |
| Practice Address |
Legacy Salmon Creek Providers 2211 Ne 139th Street Vancouver WA 98686-2742 |
| Mailing Address |
Po Box 2077 Portland OR 97208-2077 |
| Practice Telephone | 5034138407 |
| Practice Fax Number | 5034136951 |
| Mailing Telephone | 5034133900 |
| Mailing Fax Number | 5034133710 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60031978 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
200850041NP | OR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SG0600X |
Clinical Nurse Specialist Specialization: Gerontology |
200470003 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICARE | G8878364 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 335 Se 8th Ave, Hillsboro, OR 971234246 | 5036811919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164900981 | Susan Marie Rose | Health Educator | 11960 Westline Industrial Dr Ste 232, Saint Louis, MO 63146-3209 | 2018-08-02 |
| 1609162718 | Susan Rose | Speech-Language Pathologist | 511 Valley Stream Dr., Geneva, FL 32732 | 2011-06-27 |
| 1518088087 | Susan M Rose | Obstetrics & Gynecology | 370 E 9th Ave, Suite 205, Salt Lake City, UT 84103-2877 | 2007-04-03 |
| 1235279605 | Susan Botts Rose | Speech-Language Pathologist | 1473 Sw 4th Ct, Boca Raton, FL 33432-7138 | 2007-02-07 |
| 1669004917 | Susan M. Rose | Occupational Therapist | 5323 Montgomery Blvd Ne, Albuquerque, NM 87109-1302 | 2020-02-05 |
| 1356770978 | Susan R Rose | Physical Therapist | 10321 N 2274 Rd, Clinton, OK 73601-7521 | 2013-11-04 |
| 1679856421 | Susan Marie Rose | Neuromusculoskeletal Medicine & OMM | 2345 S Huron Pkwy, Ann Arbor, MI 48104-5124 | 2011-09-27 |
| 1750687604 | Susan A. Rose | Speech-Language Pathologist | 45 North Main Street, Kilmarnock, VA 22482 | 2011-02-09 |
| 1083867626 | Susan Rose | Physical Therapy Assistant | 110 W 6th St, Oswego, NY 13126-2507 | 2008-10-28 |
| 1518090844 | Susan Linda Rose | Psychologist | 142 W End Ave Apt 1p, New York, NY 10023-6115 | 2007-03-14 |
| Street Address |
LEGACY SALMON CREEK PROVIDERS 2211 NE 139TH STREET |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417423989 | Magnolia Psychiatric Services Pllc | Nurse Practitioner | 10000 Ne 7th Ave Ste 330f, Vancouver, WA 98685-4561 | 2018-10-22 |
| 1811408297 | Tms Nw Pllc | Nurse Practitioner | 5512 Ne 109th Ct Ste N, Vancouver, WA 98662-6175 | 2017-10-12 |
| 1164967246 | Ashley Leinani Bolan | Nurse Practitioner | 601 E 22nd St Ste C, Vancouver, WA 98663-3208 | 2016-12-28 |
| 1023455938 | Adina D Tarpley | Nurse Practitioner | 7210 Ne 14th Ct, Vancouver, WA 98665-0415 | 2013-05-31 |
| 1346428125 | Richard Stuart Keyser | Nurse Practitioner | 3305 Main St Ste 201, Vancouver, WA 98663-2250 | 2008-02-04 |
| 1407981095 | Kim L Carnahan Lewis | Nurse Practitioner | 1601 E Fourth Plain Blvd Bldg 17, Suite B222, Vancouver, WA 98661-3753 | 2007-02-22 |
| 1073572269 | Julie A Dewitt-kamada | Nurse Practitioner | 3208 Ne 141st St, Vancouver, WA 98686-2260 | 2006-03-17 |
| 1821073081 | Janet Nickolaus | Nurse Practitioner | 2300 E Mill Plain Blvd, Vancouver, WA 98661-4332 | 2005-12-09 |
| 1285233627 | Kristy Hosley | Nurse Practitioner | 5512 Ne 109th Ct Ste I, Vancouver, WA 98662-6175 | 2020-10-17 |
| 1801406020 | Paladin Institute for Psychiatric Services | Nurse Practitioner | 4400 Ne 77th Ave Ste 275, Vancouver, WA 98662-6857 | 2020-08-03 |
| Find all providers in VANCOUVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.