MERCY BRIDGE RESIDENTIAL TREATMENT LLC
NPI 1619760717
Community Based Residential Treatment Facility, Mental Illness in Beaverton, OR

Active since May 22, 2025
1050 SW 160TH AVE APT 338, BEAVERTON, OR 97006(616) 644-4312 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2025, Jul 8, 2025, May 22, 2025 (3 updates tracked since 2025).

About Mercy Bridge Residential Treatment Llc NPPES

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

MERCY BRIDGE RESIDENTIAL TREATMENT LLC (NPI 1619760717) is a healthcare organization registered as a community based residential treatment facility, mental illness in Beaverton, Oregon and active in the NPI registry since May 2025. The organization maintains a secondary practice location in Tigard and lists Emmanuel Zewde, Owner, as its authorized official.

NPPES Registry Identity

NPI1619760717
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameMERCY BRIDGE RESIDENTIAL TREATMENT LLC
Location Address1050 SW 160TH AVE APT 338Beaverton, OR 97006-5017
Mailing Address5880 Sw 206th AveBeaverton, OR 97078-3743 · (616) 644-4312
Organization SubpartNo
Authorized OfficialEmmanuel ZewdeOwner · (616) 644-4312
Enumeration DateMay 22, 2025
Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
NPI 1619760717 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.
1050 SW 160TH AVE APT 338, Beaverton, OR 97006

Secondary Practice Location 1

Location 19025 SW Center StTigard, OR 97223 · Phone (503) 726-3690

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 Mercy Bridge Residential Treatment LLC's NPI number?

The NPI number for Mercy Bridge Residential Treatment LLC is 1619760717. It was assigned to this organization in the NPPES registry on May 22, 2025.

Where is Mercy Bridge Residential Treatment LLC located?

Mercy Bridge Residential Treatment LLC is located at 1050 SW 160th Ave Apt 338, Beaverton, OR 97006. The listed phone number is (616) 644-4312.

What is Mercy Bridge Residential Treatment 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 Mercy Bridge Residential Treatment LLC was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.