| NPI | 1790250397 |
|---|---|
| Doing Business As | SPROUTED ROOTS WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KARAH SMITH Speech Language Pathologist 971-266-3590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 251E00000X Home Health | |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |