Provider Demographics
NPI:1851057608
Name:EMPOWER U HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:EMPOWER U HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:NEIWORTH PETSHOW
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:971-930-5239
Mailing Address - Street 1:13203 SE 172ND AVE STE 166
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-8738
Mailing Address - Country:US
Mailing Address - Phone:503-664-1011
Mailing Address - Fax:
Practice Address - Street 1:13414 NE 23 RD AVE
Practice Address - Street 2:UNIT 427
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98686
Practice Address - Country:US
Practice Address - Phone:503-664-1011
Practice Address - Fax:866-337-2677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-16
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500767312Medicaid