LUKEDORF
NPI 1710271861
Community Based Residential Treatment Facility, Mental Illness in Gresham, OR

Active since June 07, 2011
360 SW 6TH ST, GRESHAM, OR 97080(503) 726-3806 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lukedorf NPPES

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

LUKEDORF (NPI 1710271861) is a healthcare organization registered as a community based residential treatment facility, mental illness in Gresham, Oregon and active in the NPI registry since June 2011. The organization lists Megan Wiegel, Hr, as its authorized official.

NPPES Registry Identity

NPI1710271861
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameLUKEDORF
Location Address360 SW 6TH STGresham, OR 97080-9475
Mailing Address10313 69th AveTigard, OR 97223 · (503) 726-3806
Organization SubpartNo
Authorized OfficialMegan WiegelHr · (503) 726-3698
Enumeration DateJune 7, 2011
NPI 1710271861 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.
360 SW 6TH ST, Gresham, OR 97080

Other Providers at the Same Location NPPES 11

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

Community Based Residential Treatment Facility, Mental Illness
360 SW 6TH ST
GRESHAM, OR 97080
Counselor (Mental Health)
360 SW 6TH ST
GRESHAM, OR 97080
Counselor
360 SW 6TH ST
GRESHAM, OR 97080
Counselor
360 SW 6TH ST
GRESHAM, OR 97080
Counselor (Mental Health)
360 SW 6TH ST
GRESHAM, OR 97080
Counselor (Mental Health)
360 SW 6TH ST
GRESHAM, OR 97080
Counselor (Mental Health)
360 SW 6TH ST
GRESHAM, OR 97080
Counselor (Mental Health)
360 SW 6TH ST
GRESHAM, OR 97080

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 Lukedorf's NPI number?

The NPI number for Lukedorf is 1710271861. It was assigned to this organization in the NPPES registry on June 7, 2011.

Where is Lukedorf located?

Lukedorf is located at 360 SW 6th St, Gresham, OR 97080. The listed phone number is (503) 726-3806.

What is Lukedorf'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 Lukedorf was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.