MEDICARE: ROOTED PDX LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1679422745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOTED PDX LLC

Provider Business Mailing Address
First Line	:	4410 SE 45TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97206-4012
Country	:	US
Telephone Number	:	503-939-4788
Fax Number	:

Provider Business Practice Location Address
First Line	:	4410 SE 45TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97206-4012
Country	:	US
Telephone Number	:	503-939-4788
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LIBERTY KARP
Credential	:	MSW
Telephone Number	:	503-939-4788

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

Similar Medicare Providers

1962924290 — LIBERTY KARP LCSW
Practice Location Address:

4410 SE 45TH AVE
PORTLAND, OR
97206-4012

Practice Phone: 503-939-4788
Practice Fax:

1770461519 — CARISSA RENEE MARQUIS
Practice Location Address:

7200 NE 11TH AVE
PORTLAND, OR
97211-4012

Practice Phone: 503-916-6282
Practice Fax:

1326737032 — MR. MICHAEL ANTHONY PRATO
Practice Location Address:

7759 SE 72ND AVE
PORTLAND, OR
97206-7921

Practice Phone: 503-788-4500
Practice Fax:

1174481857 — UPPER LEFT PHYSICAL THERAPY AND SPORT PERFORMANCE, LLC
Practice Location Address:

3136 SE 63RD AVE
PORTLAND, OR
97206-1902

Practice Phone: 325-642-6132
Practice Fax:

1528926011 — GUIDED PATH SOLUTIONS LLC
Practice Location Address:

7240 SE UMATILLA ST
PORTLAND, OR
97206-8685

Practice Phone: 971-757-5496
Practice Fax:

1861350134 — MS. RAEGAN NAMORE LANCASTER LMT
Practice Location Address:

5308 SE RHONE ST
PORTLAND, OR
97206-2962

Practice Phone: 503-775-6885
Practice Fax:

Directions to “ROOTED PDX LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.