Root & Branch Integrative Fitness

NPI #1215490347 in Portland, Oregon

Provider Information

NPI Number: 1215490347
Entity Type: Organization
Organization Name: Root & Branch Integrative Fitness
Subpart: Yes (part of a larger organization)
Parent Organization: ROOT & BRANCH PHYSICAL THERAPY
Primary Specialty: Physical Therapist
Enumeration Date: Apr 6, 2019
Last Updated: Aug 29, 2021

Practice Location

Address: 1235 SE GRAND AVE
City: Portland
State: Oregon
ZIP Code: 97214-3435
Phone: (503) 577-0318

Authorized Official

Name: ALEX DE LA PAZ, PT, DPT
Title: OWNER
Phone: (503) 577-0318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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