Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courageous Roots Institute

Organization Clinical Psychologist · NPI 1992443402

Courageous Roots Institute is a Clinical Psychologist in Portland, Oregon. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1020 SW Taylor St Ste 855
Portland, OR 97205-2570
Phone: (503) 388-3433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1992443402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrea Millen — Clinical Psychologist · (503) 388-3433
NPI enumeratedMay 24, 2022
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022
Mailing address1020 Sw Taylor St Ste 855, Portland, OR 97205-2570

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