Organization
RELATIONAL ROOTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUST BRUCE WAGNER (THERAPIST)
(970) 567-5203
Entity
Organization
Contact information
Practice address
333 SW TAYLOR ST STE 200, PORTLAND, OR 97204-2446
(970) 567-5203
Mailing address
333 SW TAYLOR ST STE 200, PORTLAND, OR 97204-2446
(970) 567-5203
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
11/05/2025
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