Active NPI
New Path Residential. LLC
- Mental Illness Community Based Residential Treatment Facility
- Portland, OR
National Provider Identifier
1003720756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- NEW PATH RESIDENTIAL. LLC
- Practice address
- 16005 SE Taggart St
Portland, OR 97236-1948 - Phone
- (310) 686-5423
- NPI assigned
- Sep 30, 2026
- Last updated
- Sep 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
- Lia N Yemane-Berhan
- Title
- Owner
- Phone
- (310) 686-5423
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NU | Primary |
Addresses
Primary practice location
16005 SE Taggart St
Portland, OR 97236-1948
Mailing address
16005 SE Taggart St
Portland, OR 97236-1948
Phone (310) 686-5423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790726400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790726400000",
"number": "1003720756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16005 SE TAGGART ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972361948",
"telephone_number": "310-686-5423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16005 SE TAGGART ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972361948",
"telephone_number": "310-686-5423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW PATH RESIDENTIAL. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-30",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A",
"authorized_official_last_name": "YEMANE-BERHAN",
"authorized_official_first_name": "LIA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-686-5423"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NU",
"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 Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.