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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

NPI Number 1790250397
LBN Legal business name SPROUTED ROOTS THERAPY & WELLNESS, LLC
Authorized official KARAH SMITH - (SPEECH-LANGUAGE PATHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 10/10/2018
Last updated 10/10/2018 - About 8 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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