Organization Active NPI

Gifted Iris Healthcare LLC

  • Nursing Care Agency
  • Clackamas, OR
National Provider Identifier
1205770062
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
GIFTED IRIS HEALTHCARE LLC
Practice address
15648 SE 114TH Ave Ste 206
Clackamas, OR 97015-9033
Phone
(503) 473-2347
NPI assigned
Apr 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Authorized official

Name
Andrew Mebrat
Title
Administrator
Phone
(503) 473-2347

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

15648 SE 114TH Ave Ste 206
Clackamas, OR 97015-9033

Mailing address

15648 SE 114TH Ave Ste 206
Clackamas, OR 97015-9033

National Provider Directory

National Provider Directory

Locations

15648 SE 114th Ave
Ste 206
Clackamas, OR 97015
Phone (503) 473-2347

NPI Registry JSON

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

{
    "created_epoch": "1776124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1205770062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15648 SE 114TH AVE STE 206",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15648 SE 114TH AVE STE 206",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159033",
            "telephone_number": "503-473-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED IRIS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-14",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "MEBRAT",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "503-473-2347"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.