Rooted Mental Health Llc | |
528 Cottage St Ne Ste 401 Salem OR 97301-3861 | |
(503) 583-8537 | |
(503) 343-3331 |
Full Name | Rooted Mental Health Llc |
---|---|
Speciality | Social Worker - Clinical |
Location | 528 Cottage St Ne Ste 401, Salem, Oregon |
Authorized Official Name and Position | Elizabeth Delgros-ryan (OWNER) |
Authorized Official Contact | 4127593919 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rooted Mental Health Llc 528 Cottage St Ne Ste 401 Salem OR 97301-3861 Ph: (503) 583-8537 | Rooted Mental Health Llc 528 Cottage St Ne Ste 401 Salem OR 97301-3861 Ph: (503) 583-8537 |
NPI Number | 1073219507 |
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Provider Enumeration Date | 02/06/2023 |
Last Update Date | 10/06/2023 |
Certification Date | 06/02/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073219507 | NPI | - | NPPES |
500817801 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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