Empowerment Clinic Inc

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

EMPOWERMENT CLINIC INC

Practice address

5257 NE Martin Luther King Jr Blvd Ste 201&202
Portland, OR 97211-3282

Phone

(503) 676-3710

Fax

(503) 430-5403

NPI assigned

Feb 23, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Braxton, MSW, CADC III, QMHP

Title

Executive Director

Phone

(503) 676-3710

Specialties & licenses 12

Addresses

Other identifiers 2

Tax ID family

Affirmative Reaction2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Affirmative Reaction

  • Community/Behavioral Health Agency
  • Milwaukee, WI
  • NPI 1003055047
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1447490073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NE 3RD AVE STE A",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971243150",
            "telephone_number": "503-851-0059",
            "fax_number": "503-430-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5257 NE MARTIN LUTHER KING JR BLVD STE 201&202",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972113282",
            "telephone_number": "503-676-3710",
            "fax_number": "503-430-5403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 NE 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971243150",
            "country_code": "US",
            "telephone_number": "503-438-7079",
            "fax_number": "503-430-5403",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8979 SE Division St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972661447",
            "country_code": "US",
            "telephone_number": "503-676-3710",
            "fax_number": "503-430-5403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWERMENT CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "BRAXTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-676-3710",
        "authorized_official_credential": "MSW, CADC III, QMHP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "2800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "2800",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "2800",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OR",
            "license": "2800",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "OR",
            "license": "2800",
            "primary": false
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": "OR",
            "license": "20105014NP",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "OR",
            "license": "20105014NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447490073",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50071465",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Empey, M.D.
• Empower Healthcare Corp.
• Empower Who Are You Therapy
• Empowered Fulfillment Therapy
• Empowered Living Therapy, LLC
• Empowerment Project
• Elizabeth Emrick
• Hannah Nichole Emrick
• Maya G. Emshwiller, PMHNP
• En la Mesa Nutrition LLC

• Community Health Clinic/Center in Portland, OR
• Providers in Portland, OR by specialty
• Community Health Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.