Healthcare Provider Details

I. General information

NPI: 1104746379
Provider Name (Legal Business Name): BAREROOTS THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 E 1ST ST STE 3
NEWBERG OR
97132-2942
US

IV. Provider business mailing address

1308 E 1ST ST STE 3
NEWBERG OR
97132-2942
US

V. Phone/Fax

Practice location:
  • Phone: 503-489-7398
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATELIN HARRINGTON
Title or Position: OWNER
Credential: MFT ASSOCIATE
Phone: 503-489-7398