=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588563464
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NARRATIVE ROOTS THERAPY, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/05/2026
-----------------------------------------------------
Last Update Date | 11/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5236 NE 57TH AVE
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97218-2548
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 260-403-6619
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3439 SE HAWTHORNE BLVD # 921
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97214-5048
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 971-801-2321
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | VICTORIA MORRISON
-----------------------------------------------------
Credential | LMFT
-----------------------------------------------------
Telephone | 971-801-2321
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM0801X
-----------------------------------------------------
Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------