Mercy Bridge Residential Treatment LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MERCY BRIDGE RESIDENTIAL TREATMENT LLC

Practice address

1050 SW 160TH Ave Apt 338
Beaverton, OR 97006-5017

Phone

(616) 644-4312

NPI assigned

May 22, 2025

Organization subpart

No

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

Authorized official

Name

Emmanuel Zewde

Title

Owner

Phone

(616) 644-4312

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754265600000",
    "number": "1619760717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 SW 206TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970783743",
            "telephone_number": "616-644-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SW 160TH AVE APT 338",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065017",
            "telephone_number": "616-644-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9025 SW Center St",
            "address_purpose": "LOCATION",
            "city": "Tigard",
            "state": "OR",
            "postal_code": "97223",
            "country_code": "US",
            "telephone_number": "503-726-3690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY BRIDGE RESIDENTIAL TREATMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A",
        "authorized_official_last_name": "ZEWDE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-644-4312"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Mendoza Serrano
• Jesus Mendoza-Estrada
• Hawone Mengistu
• Tete Adjete Mensah, RDH
• Elizabeth Mercado, FNP-BC
• Mercy Gate Medical, P.C.
• Kathleen Marie Meredith, LPC
• Meridian Medical Massage
• Hayden Alexander Meriwether, DMD
• Julie Merkl, P.T.

• Mental Illness Community Based Residential Treatment Facility in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.