Relational Roots, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

RELATIONAL ROOTS, LLC

Practice address

333 SW Taylor St Ste 200
Portland, OR 97204-2446

Phone

(970) 567-5203

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

August Bruce WagnerNPI 1447017082

Title

Therapist

Phone

(970) 567-5203

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• August Bruce Wagner

  • Professional Counselor
  • Portland, OR
  • NPI 1447017082
  NPD Authorized official

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1184431355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SW TAYLOR ST STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042446",
            "telephone_number": "970-567-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SW TAYLOR ST STE 200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042446",
            "telephone_number": "970-567-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELATIONAL ROOTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "AUGUST",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "970-567-5203"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.