Organization
ROOT WHOLE BODY HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT JOHNSON (OWNER)
(503) 292-7668
Entity
Organization
Contact information
Practice address
2122 NW QUIMBY ST, PORTLAND, OR 97210-2622
(503) 288-7668
(866) 877-6820
Mailing address
2122 NW QUIMBY ST, PORTLAND, OR 97210-2622
(503) 292-7668
(866) 877-6820
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
04/30/2012
Last updated
10/11/2022
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