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Organization
EMPOWERMENT CLINIC INC
Active
Organization
EMPOWERMENT CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BRAXTON MSW, CADC III, QMHP (EXECUTIVE DIRECTOR)
(503) 676-3710
Entity
Organization
Contact information
Practice address
5257 NE MARTIN LUTHER KING JR BLVD STE 201&202, PORTLAND, OR 97211-3282
(503) 676-3710
(503) 430-5403
Mailing address
150 NE 3RD AVE STE A, HILLSBORO, OR 97124-3150
(503) 851-0059
(503) 430-5403
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2800
OR
101YM0800X
Mental Health Counselor
2800
OR
104100000X
Social Worker
—
OR
172V00000X
Community Health Worker
2800
OR
183500000X
Pharmacist
—
OR
251V00000X
Voluntary or Charitable Agency
—
OR
261QC1500X
Community Health Clinic/Center
Primary
—
OR
261QF0400X
Federally Qualified Health Center (FQHC)
—
OR
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
2800
OR
261QP3300X
Pain Clinic/Center
2800
OR
363LC1500X
Community Health Nurse Practitioner
20105014NP
OR
363LP2300X
Primary Care Nurse Practitioner
20105014NP
OR
Other
Enumeration date
02/23/2009
Last updated
06/11/2019
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