OrganizationActive
Bh-Or Opco 109th, LLC
NPI 1427885722 · Mental Illness Community Based Residential Treatment Facility · Portland, OR
Provider details
- NPI number
- 1427885722
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Chad Engbrecht, General Counsel(858) 254-2510
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2566 Se 109th Ave
Portland, OR 97266-1215
Phone: (503) 504-4042
Street-level locationGet directions
Mailing address
Po Box 12125
Portland, OR 97212-0125
Other names (DBA / former)
- Doing business as
- Jackson House Portland Srtf 109th
Registry dates
- Enumerated
- 2024-09-19
- Last updated
- 2024-09-19
- Certified
- 2024-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.