Active NPI
Bridgeway Residential Services LLC
- Mental Illness Community Based Residential Treatment Facility
- Portland, OR
National Provider Identifier
1922925023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- BRIDGEWAY RESIDENTIAL SERVICES LLC
- Practice address
- 4628 SE Powell Butte Pkwy
Portland, OR 97236-9310 - Phone
- (971) 804-9398
- NPI assigned
- Jun 30, 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
- Moses Karemera
- Title
- Director of Operations
- Phone
- (971) 804-9398
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
4628 SE Powell Butte Pkwy
Portland, OR 97236-9310
Mailing address
4628 SE Powell Butte Pkwy
Portland, OR 97236-9310
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782777600000",
"number": "1922925023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4628 SE POWELL BUTTE PKWY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972369310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4628 SE POWELL BUTTE PKWY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972369310",
"telephone_number": "971-804-9398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIDGEWAY RESIDENTIAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-30",
"last_updated": "2026-06-30",
"certification_date": "2026-07-01",
"status": "A",
"authorized_official_last_name": "KAREMERA",
"authorized_official_first_name": "MOSES",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "971-804-9398"
},
"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 Jun 30, 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.