Active NPI
Ankh Wellness Center LLC
- Community/Behavioral Health Agency
- Portland, OR
National Provider Identifier
1235749987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ANKH WELLNESS CENTER LLC
- Practice address
- 5257 NE Martin Luther King Jr Blvd Ste 202D
Portland, OR 97211-3283 - Phone
- (971) 216-9732
- NPI assigned
- Aug 7, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith K Crowner, CRM, PWS, CT
- Title
- Executive Director
- Phone
- (971) 216-9732
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Recovery Care Clinic/Center | 261QR0800X |
Addresses
Primary practice location
5257 NE Martin Luther King Jr Blvd Ste 202D
Portland, OR 97211-3283
Mailing address
8428 N Bliss St
Portland, OR 97203-1177
Phone (971) 207-5652
National Provider Directory
National Provider DirectoryLocations
5257 NE Martin Luther King Jr Blvd
Ste 202D
Portland, OR 97211
Phone (971) 216-9732
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Peer Specialist
- Portland, OR
- NPI 1336641190
-
- Peer Specialist
- Portland, OR
- NPI 1578029559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596758400000",
"number": "1235749987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8428 N BLISS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972031177",
"telephone_number": "971-207-5652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5257 NE MARTIN LUTHER KING JR BLVD STE 202D",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972113283",
"telephone_number": "971-216-9732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANKH WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-08-07",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A",
"authorized_official_last_name": "CROWNER",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "971-216-9732",
"authorized_official_credential": "CRM, PWS, CT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.