OrganizationActive
Vital Roots Prof Corp
NPI 1366880767 · Primary Care Clinic/Center · Seattle, WA
Provider details
- NPI number
- 1366880767
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ryan Campbell, Owner(614) 738-8256
- License
- NT60181111 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1225 Dexter Ave N
Seattle, WA 98109-3518
Phone: (206) 497-4962
Fax: (206) 316-8655
Street-level locationGet directions
Mailing address
4220 Sw 104th St
Seattle, WA 98146-1065
Registry dates
- Enumerated
- 2013-06-06
- Last updated
- 2013-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.