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COLLECTIVE ROOTS APG
NPI 1205680493
Peer Specialist in Portland, OR

Active since April 15, 2024
5830 NE ALAMEDA ST, PORTLAND, OR 97213(360) 910-2870 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collective Roots Apg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLECTIVE ROOTS APG (NPI 1205680493) is a healthcare organization registered as a peer specialist in Portland, Oregon and active in the NPI registry since April 2024. The organization lists Robin Bergeron, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1205680493
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameCOLLECTIVE ROOTS APG
Location Address5830 NE ALAMEDA STPortland, OR 97213-3426
Mailing Address5830 Ne Alameda StPortland, OR 97213-3426 · (360) 910-2870
Phone(360) 910-2870
Organization SubpartNo
Authorized OfficialRobin BergeronExecutive Director · (360) 910-2870
Enumeration DateApril 15, 2024
NPPES CertifiedApril 15, 2024
✔ NPI 1205680493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
5830 NE ALAMEDA ST, Portland, OR 97213
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collective Roots Apg's NPI number?

The NPI number for Collective Roots Apg is 1205680493. It was assigned to this organization in the NPPES registry on April 15, 2024.

Where is Collective Roots Apg located?

Collective Roots Apg is located at 5830 NE Alameda St, Portland, OR 97213. The listed phone number is (360) 910-2870.

What is Collective Roots Apg's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Collective Roots Apg was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.