Organization
PINK WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERRE-CEDRIC BERNARD CROUCH PHD,ANP-BC,PMHNP-BC (OWNER)
(415) 637-0373
Entity
Organization
Contact information
Practice address
2119 NE HALSEY ST, PORTLAND, OR 97232-1522
(503) 427-8006
Mailing address
2119 NE HALSEY ST, PORTLAND, OR 97232-1522
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
07/11/2025
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