Organization
ROOTED IN NATURE HEALTH CARE FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEXIS THOMAS (OFFICE MANAGER)
(503) 957-5366
Entity
Organization
Contact information
Practice address
17905 NE GLISAN ST, PORTLAND, OR 97230-6507
(503) 957-5366
Mailing address
17905 NE GLISAN ST, PORTLAND, OR 97230-6507
(503) 957-5366
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QB0400X
Birthing Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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