Healthcare Provider Details

I. General information

NPI: 1275456782
Provider Name (Legal Business Name): ROOTED RESILIENCE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10700 SW BEAVERTON HILLSDALE HWY
BEAVERTON OR
97005-3019
US

IV. Provider business mailing address

10700 SW BEAVERTON HILLSDALE HWY
BEAVERTON OR
97005-3019
US

V. Phone/Fax

Practice location:
  • Phone: 503-858-3343
  • Fax:
Mailing address:
  • Phone: 503-858-3343
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MEGAN SCHMIDT
Title or Position: OWNER
Credential: MC. LPCA
Phone: 503-858-3343