ROOT & BLOOM INTEGRATIVE HEALTH – NPI #1922965011
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

ROOT & BLOOM INTEGRATIVE HEALTH is an AHC clinic located in PORTLAND, OR. NPPES has assigned the NPI number 1922965011 to ROOT & BLOOM INTEGRATIVE HEALTH on January 08, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROOT & BLOOM INTEGRATIVE HEALTH below.

NPI Profile for
ROOT & BLOOM INTEGRATIVE HEALTH

NPI Number
1922965011
Enumeration Date

(about 5 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROOT & BLOOM INTEGRATIVE HEALTH
Primary location
505 NW 9TH AVE
PORTLAND, OR 97209-3578
Phone: (503) 308-9363 Fax:
Mailing address
5441 S MACADAM AVE STE R
PORTLAND, OR 97239-3822
Phone: Fax:
Organization Subpart
No
Authorized Official
KIARA CORDES
MEMBER
Phone: (541) 480-3186
Updated
Certification Date
Jan 08, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.