NPIMap

Organization Active NPI

Lensa Residential Service LLC

  • Registered Nurse
  • Portland, OR
National Provider Identifier
1023749603
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
LENSA RESIDENTIAL SERVICE LLC
Practice address
2320 SE 153Rd Ave
Portland, OR 97233-3416
Phone
(503) 327-8224
Fax
(503) 265-8394
NPI assigned
Jun 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Berhanu K BedassaNPI 1093260622
Title
Director
Phone
(503) 327-8224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

2320 SE 153Rd Ave
Portland, OR 97233-3416

Mailing address

2320 SE 153Rd Ave
Portland, OR 97233-3416
Phone (503) 327-8224

Other names 1

  • LENSA RESIDENTIAL SERVICE LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655942400000",
    "number": "1023749603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 SE 153RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333416",
            "telephone_number": "503-327-8224",
            "fax_number": "503-265-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 SE 153RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972333416",
            "telephone_number": "503-327-8224",
            "fax_number": "503-265-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENSA RESIDENTIAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A",
        "authorized_official_last_name": "BEDASSA",
        "authorized_official_first_name": "BERHANU",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-327-8224",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LENSA RESIDENTIAL SERVICE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.