Active NPI
Mother Roots LLC
- Midwife
- Portland, OR
National Provider Identifier
1184533127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 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.