Organization Active NPI

Mercy Residential Treatment Facility

  • Mental Illness Community Based Residential Treatment Facility
  • Tigard, OR
National Provider Identifier
1770499592
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
MERCY RESIDENTIAL TREATMENT FACILITY
Practice address
9095 SW North Dakota St
Tigard, OR 97223-6521
Phone
(503) 995-6476
NPI assigned
Aug 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Suad Elmi
Title
Director
Phone
(503) 995-6476

Specialties & licenses 1

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

Addresses

Primary practice location

9095 SW North Dakota St
Tigard, OR 97223-6521

Mailing address

9095 SW North Dakota St
Tigard, OR 97223-6521

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1770499592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9095 SW NORTH DAKOTA ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9095 SW NORTH DAKOTA ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236521",
            "telephone_number": "503-995-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY RESIDENTIAL TREATMENT FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "ELMI",
        "authorized_official_first_name": "SUAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-995-6476"
    },
    "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 Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.