OrganizationActive
Lukedorf
NPI 1710271861 · Mental Illness Community Based Residential Treatment Facility · Gresham, OR
Provider details
- NPI number
- 1710271861
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Megan Wiegel, Hr(503) 726-3698
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs 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
360 Sw 6th St
Gresham, OR 97080-9475
Phone: (503) 726-3806
Street-level locationGet directions
Mailing address
10313 69th Ave
Tigard, OR 97223
Registry dates
- Enumerated
- 2011-06-07
- Last updated
- 2011-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.