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Organization
ROOTS AND WINGS THERAPY LLC
Active
Organization
ROOTS AND WINGS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER OSULLIVAN LCSW (OWNER)
(541) 728-3171
Entity
Organization
Contact information
Practice address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-6106
(541) 728-3171
(458) 256-3181
Mailing address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-6106
(541) 728-3171
(458) 256-3181
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
12/02/2025
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