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NPI Code Detail

MEDICARE: ROOTED CHIROPRACTIC & WELLNESS, LLC

MEDICARE: ROOTED CHIROPRACTIC & WELLNESS, 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
1111N00000XChiropractor

General Provider Information

NPI Number : 1417778044
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROOTED CHIROPRACTIC & WELLNESS, LLC
Provider Business Mailing Address
First Line : 5308 SE RHONE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97206-2962
Country : US
Telephone Number : 503-775-6885
Fax Number :
Provider Business Practice Location Address
First Line : 5308 SE RHONE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97206-2962
Country : US
Telephone Number : 503-775-6885
Fax Number : 503-775-2451
Authorized Official
Title or Position : CHIROPRACTOR
Name : DR. KRYSTAL LA PLANTE
Credential : DC
Telephone Number : 503-775-6885
Provider Enumeration Date : 10/17/2024
Last Update Date : 12/12/2025

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Directions to “ROOTED CHIROPRACTIC & WELLNESS, LLC ” Practice Location

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