Provider Demographics
NPI:1205727401
Name:BERRYHELPFUL2GETHER FOUNDATION
Entity type:Organization
Organization Name:BERRYHELPFUL2GETHER FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TRESA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:THW, PSS
Authorized Official - Phone:971-610-9056
Mailing Address - Street 1:745 NW HOYT ST UNIT 4071
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-2668
Mailing Address - Country:US
Mailing Address - Phone:971-610-9056
Mailing Address - Fax:
Practice Address - Street 1:5338 N BORTHWICK AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97217-2310
Practice Address - Country:US
Practice Address - Phone:503-888-4274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1144119744Medicaid