| Roots Health Clinic Llc | |
|
330 Ne 102nd Ave Portland OR 97220-4107 | |
| (503) 252-9181 | |
| (503) 252-6161 |
| Full Name | Roots Health Clinic Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 330 Ne 102nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Kathleen Kuhn (OWNER) |
| Authorized Official Contact | 5035681742 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roots Health Clinic Llc 330 Ne 102nd Ave Portland OR 97220-4107 Ph: (503) 252-9181 | Roots Health Clinic Llc 330 Ne 102nd Ave Portland OR 97220-4107 Ph: (503) 252-9181 |
| NPI Number | 1679981070 |
|---|---|
| Provider Enumeration Date | 07/29/2014 |
| Last Update Date | 07/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679981070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 2013 (Oregon) | Primary |
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