# CLEANSE WELLNESS COMPANY

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

## Provider details

- **NPI number:** 1578421954
- **Authorized official:** DR. NICHOLAS CRAPSER PHD (CLINICAL DIRECTOR)
- **Authorized official phone:** (503) 988-0753

## Contact information

- **Practice address:** 8620 NE BEECH ST, PORTLAND, OR 97220-5011
- **Practice address phone:** (503) 998-0753
- **Mailing address:** PO BOX 16295, PORTLAND, OR 97292-0295
- **Mailing address phone:** (503) 998-0753

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/13/2026
- **Last updated:** 01/13/2026