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DEEP ROOTS FAMILY MEDICINE NPI 1871013409


NPI Information

NPI: 1871013409
Provider Name: DEEP ROOTS FAMILY MEDICINE
Classification: Naturopath - 175F00000X
Entity Type: Organization
Address:
605 UNION ST NE
SALEM, OR
ZIP 97301
Phone: (971) 207-3680
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DEEP ROOTS FAMILY MEDICINE is a naturopath in Salem, OR. The provider is 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. DEEP ROOTS FAMILY MEDICINE NPI is 1871013409. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

605 UNION ST NE
SALEM, OR
ZIP 97301-462
Phone: (971) 207-3680
Fax: (503) 339-9585

The provider's authorized official is George Gonzales .
The authorized official title is Owner and has the following contact phone number (541) 602-7096.

The enumeration date for this NPI number is 6/24/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalC3986OREGONNo
2175F00000XNaturopath00960OREGONNo
3175F00000XNaturopath1781OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11902115215OTHEROREGONNPPES
21083864029OTHEROREGONNPPES
31184647398OTHEROREGONNPPES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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