ELOISE ROOT JR NPI 1831986629

NPI Information

  • NPI: 1831986629
  • Provider Name: ELOISE ROOT JR
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 2326 SW GLACIER PL
    REDMOND, OR
    ZIP 97756
  • Phone: (541) 516-0669

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NPI Details

Eloise Root Jr is a peer specialist in Redmond, OR. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Eloise Root Jr NPI is 1831986629. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2326 SW GLACIER PL
REDMOND, OR
ZIP 97756-626
Phone: (541) 516-0669
Fax: (541) 516-0669

The enumeration date for this NPI number is 4/23/2025 and was last updated on 4/23/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer Specialist113842OREGONYes

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: 11/21/2025

NPI Synchronization or Removal

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