SearchOregon104100000X

Tara Rose

NPI 1003271313 · on the registry since 2015

Practice

Address
4116 Se 67th Ave
Portland, OR 97206
Phone
(503) 901-3180

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
104100000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon