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 provides Surgery Physician services 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 Not confirmed with CMS for 18 years — call before visiting
Phone: (503) 661-9700
Fax: (503) 661-9800
Show map & directions

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

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