1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Clinic Center
  6. NPI Profile

VITAL ROOTS PROF CORP
NPI 1366880767
Clinic/Center - Primary Care in Seattle, WA

Active since June 06, 2013
1225 DEXTER AVE N, SEATTLE, WA 98109(206) 497-4962(206) 316-8655 Get Directions Write a Review

NPPES record last updated: June 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vital Roots Prof Corp NPPES

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

VITAL ROOTS PROF CORP (NPI 1366880767) is a healthcare organization registered as a primary care in Seattle, Washington and active in the NPI registry since June 2013. The organization lists Ryan Mackenzie Campbell, Owner, as its authorized official.

NPPES Registry Identity

NPI1366880767
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVITAL ROOTS PROF CORP
Location Address1225 DEXTER AVE NSeattle, WA 98109-3518
Mailing Address4220 Sw 104th StSeattle, WA 98146-1065 · (614) 738-8256
Phone(206) 497-4962
Fax(206) 316-8655
Organization SubpartNo
Authorized OfficialRyan Mackenzie CampbellOwner · (614) 738-8256
Enumeration DateJune 6, 2013
✔ NPI 1366880767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in WA · NT60181111
1225 DEXTER AVE N, Seattle, WA 98109
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

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

DR JUSTIN J FAVREAU PLLC
Chiropractor
1225 DEXTER AVE N
SEATTLE, WA 98109
King County (206) 497-4962
DR. RACHEL MARIE GIORDANO ND
Naturopath
1225 DEXTER AVE N
SEATTLE, WA 98109
King County (206) 497-4962
DIONNA COUCH
Specialist
1225 DEXTER AVE N
SEATTLE, WA 98109
King County (206) 497-4962
DR. MARK THOREAU OLIN DC
Chiropractor (Rehabilitation)
1225 DEXTER AVE N
SEATTLE, WA 98109
King County (206) 497-4962
MR. CLAY J BRANNEN LMP
Massage Therapist
1225 DEXTER AVE N
SEATTLE, WA 98109
King County (206) 497-4962

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 Vital Roots Prof Corp's NPI number?

The NPI number for Vital Roots Prof Corp is 1366880767. It was assigned to this organization in the NPPES registry on June 6, 2013.

Where is Vital Roots Prof Corp located?

Vital Roots Prof Corp is located at 1225 Dexter Ave N, Seattle, WA 98109. The listed phone number is (206) 497-4962.

What is Vital Roots Prof Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Vital Roots Prof Corp was last updated on June 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.