Deep Roots Family Medicine

LBN: Deep Roots Family Medicine
Deep Roots Family Medicine is an health care organization with primary practice located at 605 Union St Ne , Salem OR 97301-2462. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Other Service Providers / Naturopath. Other Service Providers / Naturopath is the primary health care specialty. Deep Roots Family Medicine can be contacted via phone (971) 207-3680, or through Gonzales, George via phone (541) 602-7096.

Contact Information

Primary practice address
605 Union St Ne Salem OR 97301-2462
Phone: (971) 207-3680
Fax: (503) 339-9585
Website:
Map and Directions
Authorized official contact:
Name: Gonzales, George ND
Phone: (541) 602-7096

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C3986 Oregon
Other Service Providers / Naturopath 175F00000X 1781 Oregon
Other Service Providers / Naturopath 175F00000X 00960 Oregon

Profile Details

NPI number 1871013409
LBN Legal business name Deep Roots Family Medicine
DBA Doing business as
Authorized official Gonzales, George ND
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871013409 NPPES
Oregon Other 1083864029 NPPES
Oregon Other 1184647398 NPPES
Oregon Other 1902115215 NPPES

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