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Contact Information

SPROUTED ROOTS THERAPY & WELLNESS, LLC
2127 NW IRVING ST APT 103
PORTLAND, OR97210-5242
 Phone: 971-266-3590
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Early Intervention Provider Agency

252Y00000X
 

Hearing and Speech

261QH0700X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for SPROUTED ROOTS THERAPY WELLNESS LLC · (Female)

NPI # 1790250397
Status Active
Credentials
Entity Individual
Enumeration date 10/10/2018
Last updated 10/10/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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