Individual
NATALIE ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2314 NE LOMBARD ST, PORTLAND, OR 97211-5268
(253) 320-9892
Mailing address
1204 QUARI ST, AURORA, CO 80011-6225
(253) 320-9892
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0009923094
CO
Other
Enumeration date
06/08/2022
Last updated
06/05/2023
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