WILLOW ROOT MEDICINE LLC NPI 1356084271

NPI Information

NPI: 1356084271
Provider Name: WILLOW ROOT MEDICINE, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
16444 SE 135TH AVE
CLACKAMAS, OR
ZIP 97015
Phone: (503) 309-0376
Get Directions

WILLOW ROOT MEDICINE, LLC is a health service clinic center in Clackamas, OR. WILLOW ROOT MEDICINE, LLC NPI is 1356084271. The provider is registered as an organization entity type.

The provider's business location address is:

16444 SE 135TH AVE
CLACKAMAS, OR
ZIP 97015-932
Phone: (503) 309-0376

The provider's authorized official is Thorn Am Willow .
The authorized official title is Member and has the following contact phone number (503) 309-0376.

The enumeration date for this NPI number is 4/19/2022 and was last updated on 4/19/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »