EMPOWERMENT CLINIC INC NPI 1447490073

NPI Information

NPI: 1447490073
Provider Name: EMPOWERMENT CLINIC INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
5257 NE MARTIN LUTHER KING JR BLVD STE 201&202
PORTLAND, OR
ZIP 97211
Phone: (503) 676-3710
Get Directions

EMPOWERMENT CLINIC INC is a community health clinic center in Portland, OR. EMPOWERMENT CLINIC INC NPI is 1447490073. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5257 NE MARTIN LUTHER KING JR BLVD STE 201&202
PORTLAND, OR
ZIP 97211-282
Phone: (503) 676-3710
Fax: (503) 430-5403

The provider's authorized official is Michael Braxton .
The authorized official title is Executive Director and has the following contact phone number (503) 676-3710.

The enumeration date for this NPI number is 2/23/2009 and was last updated on 6/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	2800	OREGON	No
2	101YM0800X	Counselor	Mental Health	2800	OREGON	No
3	104100000X	Social Worker			OREGON	No
4	172V00000X	Community Health Worker		2800	OREGON	No
5	183500000X	Pharmacist			OREGON	No
6	251V00000X	Voluntary or Charitable			OREGON	No
7	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		OREGON	No
8	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	2800	OREGON	No
9	261QP3300X	Clinic/Center	Pain	2800	OREGON	No
10	363LC1500X	Nurse Practitioner	Community Health	20105014NP	OREGON	No
11	363LP2300X	Nurse Practitioner	Primary Care	20105014NP	OREGON	No
12	261QC1500X	Clinic/Center	Community Health		OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1447490073	MEDICAID	OREGON
2	50071465	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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