| NPI | 1730885815 |
|---|---|
| Doing Business As | MOTHERROOT INTEGRATED WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CHAD BROWN Chad Brown Pa C 541-512-6986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |