Organization
TREE ROOT MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRSTIN BEAL WILSON ND, ATC (OWNER)
(619) 990-2954
Entity
Organization
Contact information
Practice address
7175 SW BEVELAND RD STE 105, TIGARD, OR 97223-8665
(503) 244-0500
Mailing address
PO BOX 8196, PORTLAND, OR 97207-8196
(971) 220-8627
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
—
Other
Enumeration date
10/16/2020
Last updated
03/04/2022
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