POWER UP COMMUNITY CENTER INC – NPI #1265315709
Clinic/Center

POWER UP COMMUNITY CENTER INC is an AHC clinic located in PORTLAND, OR. NPPES has assigned the NPI number 1265315709 to POWER UP COMMUNITY CENTER INC on July 30, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was last updated on Mar 18, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for POWER UP COMMUNITY CENTER INC below.

NPI Profile for
POWER UP COMMUNITY CENTER INC

NPI Number
1265315709
Enumeration Date

(about 10 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
POWER UP COMMUNITY CENTER INC
Primary location
111 SW 5TH AVE STE 3150
PORTLAND, OR 97204-3656
Phone: (541) 230-9970 Fax:
1 Other location(s):
701 NE 136th Ave Ste 200
Vancouver, WA 98684-6937
Phone: (503) 901-4411
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANTONIO JONES
CEO
Phone: (503) 901-4411
Updated
Certification Date
Mar 18, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
261QR0405X
- Clinic/Center / Rehabilitation, Substance Use Disorder
261QM2500X
- Clinic/Center / Medical Specialty
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.