# EMPOWERMENT CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447490073
- **Authorized official:** MICHAEL BRAXTON MSW, CADC III, QMHP (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (503) 676-3710

## Contact information

- **Practice address:** 5257 NE MARTIN LUTHER KING JR BLVD STE 201&202, PORTLAND, OR 97211-3282
- **Practice address phone:** (503) 676-3710
- **Practice address fax:** (503) 430-5403
- **Mailing address:** 150 NE 3RD AVE STE A, HILLSBORO, OR 97124-3150
- **Mailing address phone:** (503) 851-0059
- **Mailing address fax:** (503) 430-5403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | OR | Yes |
| 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