Young Roots Oregon

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

YOUNG ROOTS OREGON

Practice address

1620 9TH Ave SE
Albany, OR 97322-4871

Phone

(541) 990-4504

NPI assigned

Sep 25, 2024

Last updated

Sep 25, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrea L Bartell

Title

Executive Director

Phone

(541) 990-4504

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1124845540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3268",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973210710",
            "telephone_number": "541-990-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 9TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973224871",
            "telephone_number": "541-990-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG ROOTS OREGON",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "BARTELL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-990-4504"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brook Barrett Yetter
• Jonathan J Yoder, RPH
• Samantha York
• Jonathan Yother
• Jacqueline Lynn Young Cooper, M.D.
• Dawn Renae Young
• Anisa Zavala
• Corinna Leona Zib
• Matthew D. Zollinger, M.D.
• Amanda Zucker, ATR-BC, LCAT

• Case Management Agency in Albany, OR
• Providers in Albany, OR by specialty
• Case Management Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.