Active NPI
Healing Bridge Service LLC
- Psychiatric Residential Treatment Facility
- Gresham, OR
National Provider Identifier
1851211098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- HEALING BRIDGE SERVICE LLC
- Practice address
- 23921 SE Oak St
Gresham, OR 97030-8512 - Phone
- (503) 713-9820
- NPI assigned
- Jul 17, 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
- Mr. Markos Menamo Gecho
- Title
- Owner
- Phone
- (503) 713-9820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Residential Treatment Facility | 323P00000X | Primary |
Addresses
Primary practice location
23921 SE Oak St
Gresham, OR 97030-8512
Mailing address
23921 SE Oak St
Gresham, OR 97030-8512
Phone (503) 713-9820
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784246400000",
"number": "1851211098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23921 SE OAK ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970308512",
"telephone_number": "503-713-9820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23921 SE OAK ST",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970308512",
"telephone_number": "503-713-9820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING BRIDGE SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-17",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A",
"authorized_official_last_name": "GECHO",
"authorized_official_first_name": "MARKOS",
"authorized_official_middle_name": "MENAMO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-713-9820",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.