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Organization
ROOTS THERAPY NW LLC
Active
Organization
ROOTS THERAPY NW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA BRYSON (MEMBER)
(503) 922-9026
Entity
Organization
Contact information
Practice address
6018 SE STARK ST, PORTLAND, OR 97215-1990
(971) 402-9488
(503) 974-6689
Mailing address
6018 SE STARK ST, PORTLAND, OR 97215-1990
(971) 402-9488
(503) 974-6689
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/21/2021
Last updated
11/13/2025
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