NPIMap

Organization Active NPI

Roots Health Clinic LLC

  • Primary Care Clinic/Center
  • Portland, OR
National Provider Identifier
1679981070
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2013 Issued in OR
Legal business name
ROOTS HEALTH CLINIC LLC
Practice address
330 NE 102ND Ave
Portland, OR 97220-4107
Phone
(503) 252-9181
Fax
(503) 252-6161
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Kathleen Kuhn, NDNPI 1992126312
Title
Owner
Phone
(503) 568-1742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2013 OR Primary

Addresses

Primary practice location

330 NE 102ND Ave
Portland, OR 97220-4107

Mailing address

330 NE 102ND Ave
Portland, OR 97220-4107
Phone (503) 252-9181

National Provider Directory

National Provider Directory

Locations

330 NE 102nd Ave
Portland, OR 97220
Phone (503) 252-9181

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1679981070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 NE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204107",
            "telephone_number": "503-252-9181",
            "fax_number": "503-252-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 NE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204107",
            "telephone_number": "503-252-9181",
            "fax_number": "503-252-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOTS HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "KUHN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-568-1742",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "2013",
            "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 Jul 29, 2014; 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.