BH-OR OPCO 109TH, LLC
NPI 1427885722
Community Based Residential Treatment Facility, Mental Illness in Portland, OR

Q: What is Bh-Or Opco 109th, LLC's NPI number?

The NPI number for Bh-Or Opco 109th, LLC is 1427885722. It was assigned to this organization in the NPPES registry on September 19, 2024. The provider is doing business as Jackson House Portland SRTF 109th.

Q: What is Bh-Or Opco 109th, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since September 19, 2024

2566 SE 109TH AVE, PORTLAND, OR 97266(503) 504-4042 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bh-or Opco 109th, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BH-OR OPCO 109TH, LLC (NPI 1427885722), doing business as Jackson House Portland Srtf 109th, is a healthcare organization registered as a community based residential treatment facility, mental illness in Portland, Oregon and active in the NPI registry since September 2024. The organization lists Chad Engbrecht, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1427885722

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameBH-OR OPCO 109TH, LLC

Location Address2566 SE 109TH AVEPortland, OR 97266-1215

Mailing AddressPo Box 12125Portland, OR 97212-0125 · (503) 504-4042

Phone(503) 504-4042

Organization SubpartNo

Authorized OfficialChad EngbrechtGeneral Counsel · (858) 254-2510

Enumeration DateSeptember 19, 2024

NPPES CertifiedSeptember 19, 2024

✔ NPI 1427885722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

2566 SE 109TH AVE, Portland, OR 97266

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Other Names 1

Doing Business AsJackson House Portland Srtf 109th

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSIDY MATTHEW BYRNE

Counselor (Mental Health)

2566 SE 109TH AVE
PORTLAND, OR 97266

Multnomah County (971) 292-1960

SCOTT COVINGTON

Case Manager/Care Coordinator

2566 SE 109TH AVE
PORTLAND, OR 97266

Multnomah County (458) 270-6754

SHELBY WALSH QMHA

Counselor (Mental Health)

2566 SE 109TH AVE
PORTLAND, OR 97266

Multnomah County (458) 230-6063

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bh-Or Opco 109th, LLC's NPI number?

The NPI number for Bh-Or Opco 109th, LLC is 1427885722. It was assigned to this organization in the NPPES registry on September 19, 2024. The provider is doing business as Jackson House Portland SRTF 109th.

Where is Bh-Or Opco 109th, LLC located?

Bh-Or Opco 109th, LLC is located at 2566 SE 109th Ave, Portland, OR 97266. The listed phone number is (503) 504-4042.

What is Bh-Or Opco 109th, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Bh-Or Opco 109th, LLC was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.