Organization
COLLECTIVE ROOTS APG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BERGERON CRM (EXECUTIVE DIRECTOR)
(360) 910-2870
Entity
Organization
Contact information
Practice address
5830 NE ALAMEDA ST, PORTLAND, OR 97213-3426
(360) 910-2870
Mailing address
5830 NE ALAMEDA ST, PORTLAND, OR 97213-3426
(360) 910-2870
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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