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Organization
ROOTED HEART THERAPY LLC
Active
Organization
ROOTED HEART THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THADDEUS FREDERICK DAY (MENTAL HEALTH THERAPIST)
(971) 812-1596
Entity
Organization
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(619) 757-7394
Mailing address
5441 S MACADAM AVE # 4340, PORTLAND, OR 97239-6106
(971) 812-1596
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500809181
—
OR
Enumeration date
06/18/2024
Last updated
08/04/2026
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