Healthcare Provider Details

I. General information

NPI: 1851057608
Provider Name (Legal Business Name): EMPOWER U HEALTH AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 03/12/2024
Certification Date: 03/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13414 NE 23 RD AVE UNIT 427
VANCOUVER WA
98686
US

IV. Provider business mailing address

13203 SE 172ND AVE STE 166
HAPPY VALLEY OR
97086-8738
US

V. Phone/Fax

Practice location:
  • Phone: 503-664-1011
  • Fax: 866-337-2677
Mailing address:
  • Phone: 503-664-1011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: DR. EMMA MICHELLE NEIWORTH PETSHOW
Title or Position: FOUNDER AND OWNER
Credential: ND
Phone: 971-930-5239