Organization
ROOT WHOLE BODY HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA 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
175F00000X
Naturopath
Primary
1490
OR
Other
Enumeration date
05/22/2008
Last updated
10/11/2022
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