Organization Active NPI

Mother Roots LLC

  • Midwife
  • Portland, OR
National Provider Identifier
1184533127
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
MOTHER ROOTS LLC
Practice address
3942 SE Hawthorne Blvd
Portland, OR 97214-5242
Phone
(510) 993-9063
NPI assigned
Sep 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Sarah Husain, LDEM
Title
Registered Agent
Phone
(510) 993-9063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 176B00000X Primary

Addresses

Primary practice location

3942 SE Hawthorne Blvd
Portland, OR 97214-5242

Mailing address

3942 SE Hawthorne Blvd
Portland, OR 97214-5242
Phone (510) 993-9063

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1184533127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3942 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145242",
            "telephone_number": "510-993-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3942 SE HAWTHORNE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972145242",
            "telephone_number": "510-993-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER ROOTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "HUSAIN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "510-993-9063",
        "authorized_official_credential": "LDEM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.