Organization Active NPI

Serenity Path LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1013856624
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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

Updated by the provider on Mar 27, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.