| Bridge Of Hope Mental Health Services Llc | |
|
6517 Ne Sandy Blvd Portland OR 97213-4569 | |
| (213) 249-6973 | |
| (503) 386-3303 |
| Full Name | Bridge Of Hope Mental Health Services Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 6517 Ne Sandy Blvd, Portland, Oregon |
| Authorized Official Name and Position | Berhanu Kebede Bedassa (OWNER) |
| Authorized Official Contact | 2132496973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Of Hope Mental Health Services Llc 6517 Ne Sandy Blvd Portland OR 97213-4569 Ph: (213) 249-6973 | Bridge Of Hope Mental Health Services Llc 6517 Ne Sandy Blvd Portland OR 97213-4569 Ph: (213) 249-6973 |
| NPI Number | 1083326367 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 08/06/2025 |
| Certification Date | 08/06/2025 |
| Medicare PECOS PAC ID | 7214302918 |
|---|---|
| Medicare Enrollment ID | O20230411002499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083326367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
| Provider Name | Berhanu Bedassa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093260622 PECOS PAC ID: 8527346543 Enrollment ID: I20191203000418 |
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