Provider Demographics
NPI:1467812701
Name:EMPOWERMENT PROJECT
Entity Type:Organization
Organization Name:EMPOWERMENT PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-758-0376
Mailing Address - Street 1:945 NW NAITO PKWY APT 336
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-4713
Mailing Address - Country:US
Mailing Address - Phone:503-758-0376
Mailing Address - Fax:503-758-0376
Practice Address - Street 1:945 NW NAITO PKWY APT 336
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-4713
Practice Address - Country:US
Practice Address - Phone:503-758-0376
Practice Address - Fax:503-758-0376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-29
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175T00000XOther Service ProvidersPeer SpecialistGroup - Multi-Specialty