Organization · Type 2 NPI

Roots Therapy NW LLC

Mental Health Counselor · Portland, OR

NPI number 1831789098 Active

Practice location

6018 SE Stark St
Portland, OR 97215-1990

Fax (503) 974-6689

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1831789098

Roots Therapy NW LLC's National Provider Identifier is 1831789098, issued on Jan 21, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 13, 2025.