| Family Roots Therapy | |
|
7346 Ne Sandy Blvd Apt C Portland OR 97213-5775 | |
| (503) 746-3373 | |
| Not Available |
| Full Name | Family Roots Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 7346 Ne Sandy Blvd Apt C, Portland, Oregon |
| Authorized Official Name and Position | Kaleigh Boysen-quinata (OWNER) |
| Authorized Official Contact | 5037463373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Roots Therapy 7346 Ne Sandy Blvd Apt C Portland OR 97213-5775 Ph: (503) 746-3373 | Family Roots Therapy 7346 Ne Sandy Blvd Apt C Portland OR 97213-5775 Ph: (503) 746-3373 |
| NPI Number | 1184101164 |
|---|---|
| Provider Enumeration Date | 07/23/2018 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184101164 | NPI | - | NPPES |
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