Individual
ANDREW ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
3415 SE POWELL BLVD, PARRY CENTER FOR CHILDREN, PORTLAND, OR 97202-3371
(503) 234-9591
(503) 230-1371
Mailing address
3415 SE POWELL BLVD, PARRY CENTER FOR CHILDREN, PORTLAND, OR 97202-3371
(503) 234-9591
(503) 230-1371
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/05/2007
Last updated
08/18/2008
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