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

Root & Branch Integrative Fitness

Organization Physical Therapist · NPI 1215490347

Root & Branch Integrative Fitness is a Physical Therapist in Portland, Oregon. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1235 SE Grand Ave
Portland, OR 97214-3435
Phone: (503) 577-0318
Fax: (503) 710-9221
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1215490347
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationRoot & Branch Physical Therapy
Authorized official Alex De La Paz — Owner · (503) 577-0318
NPI enumeratedApril 6, 2019
Last updated in NPPESAugust 29, 2021
Certification dateAugust 29, 2021
Mailing address12575 Sw Douglas St, Portland, OR 97225-4539

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