Active NPI
Serenity Path LLC
- Mental Illness Community Based Residential Treatment Facility
- Portland, OR
National Provider Identifier
1013856624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- SERENITY PATH LLC
- Practice address
- 12908 SE Taylor CT
Portland, OR 97233-1655 - Phone
- (507) 779-3459
- NPI assigned
- Mar 27, 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
- Micheal Birhane, BIRHANE
- Title
- Managing Member
- Phone
- (507) 779-3459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
12908 SE Taylor CT
Portland, OR 97233-1655
Mailing address
543 SE 17TH St
Troutdale, OR 97060-2243
Phone (507) 779-3459
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774569600000",
"number": "1013856624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "543 SE 17TH ST",
"city": "TROUTDALE",
"state": "OR",
"postal_code": "970602243",
"telephone_number": "507-779-3459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12908 SE TAYLOR CT",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972331655",
"telephone_number": "507-779-3459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERENITY PATH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-27",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A",
"authorized_official_last_name": "BIRHANE",
"authorized_official_first_name": "MICHEAL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "507-779-3459",
"authorized_official_credential": "BIRHANE"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"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 Mar 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.