Individual
JOSEPH WILLIAM ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2415 NE 134TH ST STE 301, VANCOUVER, WA 98686-3029
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60969429
WA
Other
Enumeration date
04/14/2016
Last updated
03/28/2023
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