Active NPI
Pink Wellness, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Portland, OR
National Provider Identifier
1467162255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PINK WELLNESS, LLC
- Practice address
- 2119 NE Halsey St
Portland, OR 97232-1522 - Phone
- (503) 427-8006
- NPI assigned
- Dec 2, 2022
- 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
- Dr. Pierre-Cedric Bernard Crouch, PHD,ANP-BC,PMHNP-BC
- Title
- Owner
- Phone
- (415) 637-0373
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2119 NE Halsey St
Portland, OR 97232-1522
Mailing address
2119 NE Halsey St
Portland, OR 97232-1522
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752192000000",
"number": "1467162255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 NE HALSEY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 NE HALSEY ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321522",
"telephone_number": "503-427-8006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINK WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-02",
"last_updated": "2025-07-11",
"certification_date": "2025-07-11",
"status": "A",
"authorized_official_last_name": "CROUCH",
"authorized_official_first_name": "PIERRE-CEDRIC",
"authorized_official_middle_name": "BERNARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "415-637-0373",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD,ANP-BC,PMHNP-BC"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"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 Jul 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.