| Rooted Well, Llc | |
|
21370 Sw Langer Farms Pkwy Ste 142-111 Sherwood OR 97140-9137 | |
| (971) 990-8177 | |
| Not Available |
| Full Name | Rooted Well, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 21370 Sw Langer Farms Pkwy Ste 142-111, Sherwood, Oregon |
| Authorized Official Name and Position | Bobby Trihub (PSYCHOLOGIST) |
| Authorized Official Contact | 9719908177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Well, Llc 21370 Sw Langer Farms Pkwy Ste 142-111 Sherwood OR 97140-9137 Ph: (971) 990-8177 | Rooted Well, Llc 21370 Sw Langer Farms Pkwy Ste 142-111 Sherwood OR 97140-9137 Ph: (971) 990-8177 |
| NPI Number | 1962242750 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Certification Date | 05/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962242750 | NPI | - | NPPES |
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