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Organization

SPROUTED ROOTS THERAPY & WELLNESS, LLC

Active
Other names
Sprouted Roots Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
KARAH SMITH MS CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(971) 266-3590
Entity
Organization

Contact information

Practice address
2127 NW IRVING ST APT 103, PORTLAND, OR 97210-5242
(971) 266-3590
Mailing address
2127 NW IRVING ST APT 103, PORTLAND, OR 97210-5242
(971) 266-3590

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
251E00000X
Home Health Agency
252Y00000X
Early Intervention Provider Agency
261QH0700X
Hearing and Speech Clinic/Center

Other

Enumeration date
10/10/2018
Last updated
10/10/2018
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