Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TRANQUIL ROOTS LLC
NPI 1205742145
Social Worker - Clinical in Portland, OR

Active since August 20, 2026
1111 E BURNSIDE ST STE 100, PORTLAND, OR 97214(971) 438-3088 Get Directions Write a Review

NPPES record added: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Tranquil Roots Llc NPPES

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

TRANQUIL ROOTS LLC (NPI 1205742145) is a healthcare organization registered as a clinical in Portland, Oregon and active in the NPI registry since August 2026. The organization maintains a secondary practice location in Portland and lists Ethan Randall, Owner, as its authorized official.

NPPES Registry Identity

NPI1205742145
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameTRANQUIL ROOTS LLC
Location Address1111 E BURNSIDE ST STE 100Portland, OR 97214-1850
Mailing Address2705 E Burnside St Ste 206, Pmb #44Portland, OR 97214-1768 · (971) 438-3088
Organization SubpartNo
Authorized OfficialEthan RandallOwner · (971) 438-3088
Enumeration DateAugust 20, 2026
NPPES CertifiedJuly 28, 2026
NPI 1205742145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1111 E BURNSIDE ST STE 100, Portland, OR 97214

Secondary Practice Location 1

Location 12705 E Burnside St Ste 206Portland, OR 97214-1768 · Phone (971) 438-3088

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1111 E BURNSIDE ST STE 100
PORTLAND, OR 97214
Social Worker (Clinical)
1111 E BURNSIDE ST STE 100
PORTLAND, OR 97214
Case Manager/Care Coordinator
1111 E BURNSIDE ST STE 100
PORTLAND, OR 97214
Counselor (Mental Health)
1111 E BURNSIDE ST STE 100
PORTLAND, OR 97214

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 Tranquil Roots LLC's NPI number?

The NPI number for Tranquil Roots LLC is 1205742145. It was assigned to this organization in the NPPES registry on August 20, 2026.

Where is Tranquil Roots LLC located?

Tranquil Roots LLC is located at 1111 E Burnside St Ste 100, Portland, OR 97214. The listed phone number is (971) 438-3088.

What is Tranquil Roots LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Tranquil Roots LLC was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.