Root & Branch
Acupuncturist in Portland, OR. Organization (NPI-2).
NPI number1669973400
StatusActive
Last updated in NPPESFeb 27, 2023
Details
- NPI
- 1669973400
- Entity type
- Organization (NPI-2)
- Legal business name
- Root & Branch
- Organization subpart
- No
- Enumeration date
- Feb 27, 2018
- Certification date
- Feb 27, 2023
- Last updated
- Feb 27, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC186554 | OR | Yes |
Practice location
7642 Sw Capitol HwyPortland, OR 97219-2437
Phone 504-451-1739 · Fax 503-486-7068
Mailing address
6506 Se 89th AvePortland, OR 97266-5346
Phone 504-451-1739
Authorized official
Travis Kern
Owner
5044511739
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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