PINK WELLNESS LLC NPI 1467162255

NPI Information

  • NPI: 1467162255
  • Provider Name: PINK WELLNESS, LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • CLIA Number: 38D2303517
  • Address: 2119 NE HALSEY ST
    PORTLAND, OR
    ZIP 97232
  • Phone: (503) 427-8006

Map and Directions

Get Directions

NPI Details

PINK WELLNESS, LLC is a psychiatric/mental health nurse practitioner in Portland, OR. PINK WELLNESS, LLC NPI is 1467162255. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2119 NE HALSEY ST
PORTLAND, OR
ZIP 97232-522
Phone: (503) 427-8006

The provider's authorized official is Pierre-cedric Bernard Crouch .
The authorized official title is Owner and has the following contact phone number (415) 637-0373.

The CLIA number assigned to this NPI record is 38D2303517 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2022 and was last updated on 7/11/2025.

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
1363LA2200XNurse PractitionerAdult HealthNo
2163W00000XRegistered NurseNo
3363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI