Organization
CLEANSE WELLNESS COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS CRAPSER PHD (CLINICAL DIRECTOR)
(503) 988-0753
Entity
Organization
Contact information
Practice address
8620 NE BEECH ST, PORTLAND, OR 97220-5011
(503) 998-0753
Mailing address
PO BOX 16295, PORTLAND, OR 97292-0295
(503) 998-0753
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/13/2026
Last updated
01/13/2026
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