Organization · Type 2 NPI
Roots Health Clinic LLC
Primary Care Clinic/Center · Portland, OR
NPI number
1679981070
Active
Practice location
330 NE 102nd Ave
Portland, OR 97220-4107
Fax (503) 252-6161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 2013 (OR) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1679981070
Roots Health Clinic LLC's National Provider Identifier is 1679981070, issued on Jul 29, 2014. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Portland, OR. The record was last updated on Jul 29, 2014.