Organization
ROOT & BRANCH PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX DELAPAZ PT, DPT (OWNER)
(503) 577-0318
Entity
Organization
Contact information
Practice address
1305 SE MLK JR BLVD STE 101, PORTLAND, OR 97214-3457
(503) 577-0318
(503) 710-9221
Mailing address
1305 SE MLK JR BLVD STE 101, PORTLAND, OR 97214-3457
(503) 577-0318
(503) 710-9221
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60188
OR
261QP2000X
Physical Therapy Clinic/Center
60188
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114350899
TYPE 1 NPI
OR
01
—
1255888483
TYPE 1 NPI
OR
05
—
500697684
—
OR
Enumeration date
08/24/2015
Last updated
06/19/2025
Update your record
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