| Cleanse Wellness Company | |
|
8620 Ne Beech St Portland OR 97220-5011 | |
| (503) 998-0753 | |
| Not Available |
| Full Name | Cleanse Wellness Company |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 8620 Ne Beech St, Portland, Oregon |
| Authorized Official Name and Position | Nicholas Crapser (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5039880753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleanse Wellness Company Po Box 16295 Portland OR 97292-0295 Ph: (503) 998-0753 | Cleanse Wellness Company 8620 Ne Beech St Portland OR 97220-5011 Ph: (503) 998-0753 |
| NPI Number | 1578421954 |
|---|---|
| Provider Enumeration Date | 01/13/2026 |
| Last Update Date | 01/13/2026 |
| Certification Date | 01/13/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578421954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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