# ROOT & BRANCH PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164899373
- **Authorized official:** DR. ALEX LUIS DELAPAZ PT, DPT (OWNER)
- **Authorized official phone:** (503) 577-0318

## Contact information

- **Practice address:** 1305 SE MLK JR BLVD STE 101, PORTLAND, OR 97214-3457
- **Practice address phone:** (503) 577-0318
- **Practice address fax:** (503) 710-9221
- **Mailing address:** 1305 SE MLK JR BLVD STE 101, PORTLAND, OR 97214-3457
- **Mailing address phone:** (503) 577-0318
- **Mailing address fax:** (503) 710-9221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 60188 | OR | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | 60188 | OR | — |

## Other

- **Enumeration date:** 08/24/2015
- **Last updated:** 09/13/2026