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Organization

MERCY BRIDGE RESIDENTIAL TREATMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMMANUEL ZEWDE (OWNER)
(616) 644-4312
Entity
Organization

Contact information

Practice address
1050 SW 160TH AVE APT 338, BEAVERTON, OR 97006-5017
(616) 644-4312
Mailing address
5880 SW 206TH AVE, BEAVERTON, OR 97078-3743
(616) 644-4312

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/22/2025
Last updated
08/04/2025
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