Active NPI
Lensa Corporation
- Mental Illness Community Based Residential Treatment Facility
- Portland, OR
National Provider Identifier
1629989462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.