DEEP ROOTS FAMILY MEDICINE (NPI# 1871013409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871013409 |
| Entity Type | Organization |
| Organization Name | DEEP ROOTS FAMILY MEDICINE |
| Practice Address |
605 Union St Ne Salem OR 97301-2462 |
| Practice Telephone | (971) 207-3680 |
| Practice Fax Number | 5033399585 |
| Mailing Telephone | 9712073680 |
| Mailing Fax Number | 5033399585 |
| Enumeration Date | 2017-06-24 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | GEORGE GONZALES (OWNER) |
| Authorized Official Telephone | 5416027096 |
| Authorized Official Credential | ND |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
C3986 | OR | Behavioral Health & Social Service Providers |
| N | 175F00000X | Naturopath | 00960 | OR | Other Service Providers |
| Y | 175F00000X | Naturopath | 1781 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NPPES | 1902115215 | 01 |
| OR | NPPES | 1184647398 | 01 |
| OR | NPPES | 1083864029 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 650 Sw 3rd St, Corvallis, OR 973334437 | 9712073680 | 5033399585 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | DEEP ROOTS FAMILY MEDICINE, LLC | 605 Union St Ne, Salem, OR 97301 |
| Street Address |
605 UNION ST NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-2462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689897415 | Meredith R. Klein | Midwife | 605 Union St Ne, Salem, OR 97301 | 2007-04-10 |
| 1457958563 | Sarah Lily Martin | Naturopath | 605 Union St Ne, Salem, OR 97301-2462 | 2020-10-02 |
| 1437797594 | Fig Midwifery LLC | Midwife | 605 Union St Ne, Salem, OR 97301 | 2019-12-19 |
| 1508301128 | Jennifer Holland | Midwife | 605 Union St Ne, Salem, OR 97301 | 2017-01-05 |
| 1669811204 | Camella M Potter | Naturopath | 605 Union St Ne, Salem, OR 97301-2462 | 2013-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 175F00000X |
| Grouping | Other Service Providers |
| Classification | Naturopath |
| Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life. |
| Notes: Source: The Federal Dictionary of Occupational Titles, U.S. Department of Labor, Washington, D.C., section #079, 101-014 [7/1/2007: definition changed, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098861 | Jennah Bakke | Naturopath | 102 Norwich Rd, Salem, CT 06420-4001 | 2020-03-18 |
| 1588135891 | Capital City Acupuncture & Natural Medicine | Naturopath | 3000 Market St Ne Ste 259, Salem, OR 97301-1809 | 2018-12-12 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1720353360 | Concord Naturopathic Clinic | Naturopath | 23 Stiles Road, Ste 210, Salem, NH 03079 | 2012-03-15 |
| 1871801027 | Anne J Kelty | Naturopath | 7 Flint St, Salem, MA 01970-3111 | 2010-09-22 |
| 1457522765 | Timothy Sean Murbach | Naturopath | 370 Liberty St Se, Salem, OR 97301-3510 | 2008-03-13 |
| 1316138175 | Andrew Michael Perry | Naturopath | 1270 Wilbur St Se, Salem, OR 97302-2833 | 2007-08-07 |
| 1427176155 | Laika Rodriguez | Naturopath | 1495 Liberty St Ne, Salem, OR 97301 | 2007-03-27 |
| 1184756454 | Dr. Linda A. Taylor Nd, L.ac,pc | Naturopath | 846 Commercial St Se, Salem, OR 97302-4108 | 2007-03-12 |
| 1447313788 | Donald Dean Mcbride | Naturopath | 1305 Broadway St Ne, Salem, OR 97301-1425 | 2006-12-18 |
| Find all providers in SALEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.