Root & Branch

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC186554 Issued in OR

Legal business name

ROOT & BRANCH

Practice address

7642 SW Capitol Hwy
Portland, OR 97219-2437

Phone

(504) 451-1739

Fax

(503) 486-7068

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Travis Kern, LACNPI 1821588534

Title

Owner

Phone

(504) 451-1739

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.

• Travis Kern, MACOM

  • Acupuncturist
  • Portland, OR
  • NPI 1821588534
  NPD Authorized official

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1669973400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 SE 89TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972665346",
            "telephone_number": "504-451-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7642 SW CAPITOL HWY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972192437",
            "telephone_number": "504-451-1739",
            "fax_number": "503-486-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT & BRANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-451-1739",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC186554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Niuniu Roop
• Megan Roos, PT
• Mai Roost, PH.D.
• Noah Lyons Roost, PH.D.
• Root & Bloom Integrative Health
• Root & Branch Integrative Fitness
• Root & Branch Physical Therapy LLC
• Root Whole Body Health, Inc
• Root Whole Body Health, Inc
• Andrew Root, M.S.

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.