Empowerment Clinic Inc

LBN: Empowerment Clinic Inc
Empowerment Clinic Inc is an health care organization with primary practice located at 5257 Ne Martin Luther King Jr Blvd Ste 201&202 , Portland OR 97211-3282. The organization recently has 12 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Community Health Worker, Pharmacy Service Providers / Pharmacist, Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Community Health, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Pain, Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Ambulatory Health Care Facilities / Community Health is the primary health care specialty. Empowerment Clinic Inc can be contacted via phone (503) 676-3710, or through Braxton, Michael via phone (503) 676-3710.

Contact Information

Primary practice address
5257 Ne Martin Luther King Jr Blvd Ste 201&202 Portland OR 97211-3282
Phone: (503) 676-3710
Fax: (503) 430-5403
Website:
Map and Directions
Authorized official contact:
Name: Braxton, Michael MSW, CADC III, QMHP
Phone: (503) 676-3710

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2800 Oregon
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2800 Oregon
Behavioral Health & Social Service Providers / Social Worker 104100000X Oregon
Other Service Providers / Community Health Worker 172V00000X 2800 Oregon
Pharmacy Service Providers / Pharmacist 183500000X Oregon
Agencies / Voluntary or Charitable 251V00000X Oregon
Ambulatory Health Care Facilities / Community Health 261QC1500X Oregon
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Oregon
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 2800 Oregon
Ambulatory Health Care Facilities / Pain 261QP3300X 2800 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 20105014NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 20105014NP Oregon

Profile Details

NPI number 1447490073
LBN Legal business name Empowerment Clinic Inc
DBA Doing business as
Authorized official Braxton, Michael MSW, CADC III, QMHP
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2009
Last updated Jun 11th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447490073 NPPES
Oregon MEDICAID 1447490073
Oregon MEDICAID 50071465

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