Ohana Gresham Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

OHANA GRESHAM OPERATIONS LLC

Practice address

19751 SE Stark St
Portland, OR 97233-6037

Phone

(503) 789-5345

NPI assigned

Jul 13, 2023

Organization subpart

No

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

Authorized official

Name

Matthew Hilty

Title

President

Phone

(503) 789-5345

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Gardens Residential Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1508545898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 NW 2ND AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133626",
            "telephone_number": "503-789-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19751 SE STARK ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972336037",
            "telephone_number": "503-789-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHANA GRESHAM OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "HILTY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-789-5345"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephanie Gardens Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Folasade Ethel Ogunsanya, PMHNP
• Andrew H Oh, M.D.
• George Richard Oh, M.D.
• Karen Yung Ping Oh, MD
• Nicole Ohair, PT
• Ohana Health and Wellness
• Ohana Telehealth Counseling LLC
• Lisa A Ohara
• Asumi Ann Ohgushi, PT, DPT
• Sara Ann Ohgushi, N.D.

• Assisted Living Facility in Portland, OR
• Providers in Portland, OR by specialty
• Assisted Living Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.