Organization Active NPI

Lensa Corporation

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1629989462
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
LENSA CORPORATION
Practice address
13250 NE Shaver St
Portland, OR 97230-1453
Phone
(971) 230-8488
Fax
(971) 888-5174
NPI assigned
Sep 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

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

Authorized official

Name
Berhanu Kebede Bedassa, PMHNP
Title
Administrator
Phone
(213) 249-6973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

13250 NE Shaver St
Portland, OR 97230-1453

Mailing address

13250 NE Shaver St
Portland, OR 97230-1453

NPI Registry JSON

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

{
    "created_epoch": "1789171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789171200000",
    "number": "1629989462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13250 NE SHAVER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13250 NE SHAVER ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301453",
            "telephone_number": "971-230-8488",
            "fax_number": "971-888-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENSA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-12",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A",
        "authorized_official_last_name": "BEDASSA",
        "authorized_official_first_name": "BERHANU",
        "authorized_official_middle_name": "KEBEDE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "213-249-6973",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.