OrganizationActive
Cleanse Wellness Company LLC
NPI 1649128216 · Substance Use Disorder Rehabilitation Clinic/Center · Portland, OR
Provider details
- NPI number
- 1649128216
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Austin Keever, Clinical Director(503) 969-0542
Specialties & taxonomies
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8620 Ne Beech St
Portland, OR 97220-5011
Phone: (503) 969-0542
Street-level locationGet directions
Mailing address
8620 Ne Beech St
Portland, OR 97220-5011
Registry dates
- Enumerated
- 2026-03-19
- Last updated
- 2026-03-19
- Certified
- 2026-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.