NPIMap

Organization Active NPI

Serenity Lane

  • Substance Abuse Rehabilitation Facility
  • Coburg, OR
National Provider Identifier
1104934892
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SERENITY LANE
Practice address
1 Serenity Lane
Coburg, OR 97408
Phone
(541) 284-8605
Fax
(541) 687-9041
NPI assigned
Aug 25, 2006
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian Carlin
Title
Chief Financial Officer
Phone
(541) 284-8617

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Multi-Specialty Clinic/Center 261QM1300X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1 Serenity Lane
Coburg, OR 97408

Mailing address

PO Box 8549
Coburg, OR 97408-1313
Phone (541) 284-8605

Other practice location 1

2575 NW Kline St
Roseburg, OR 97471-8827
Phone (541) 673-3504

Other practice location 2

10920 SW Barbur Blvd
Portland, OR 97219-8600
Phone (503) 244-4500

Other practice location 3

920 SW Emkay Dr
Bend, OR 97702-1042
Phone (541) 383-0844

Other practice location 4

1050 Price Rd SE
Albany, OR 97322-7314
Phone (541) 928-9681

Other practice location 5

960 Liberty St SE Ste 120
Salem, OR 97302-4165
Phone (503) 588-2804

Other practice location 6

920 Country Club Rd Ste 100B
Eugene, OR 97401-6089
Phone (541) 485-1577

National Provider Directory

National Provider Directory
Tax ID family
Serenity Lane2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

920 SW Emkay Dr
Bend, OR 97702
Phone (541) 383-0844

4211 W 11th Ave
Eugene, OR 97402
Phone (541) 249-7730

10920 SW Barbur Blvd
Portland, OR 97219
Phone (503) 244-4500

960 Liberty St SE
Ste 120
Salem, OR 97302
Phone (503) 588-2804

Practitioners & affiliated clinicians

Practitioners 115

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 115

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1104934892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8549",
            "city": "COBURG",
            "state": "OR",
            "postal_code": "974081313",
            "telephone_number": "541-284-8605",
            "fax_number": "541-687-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SERENITY LANE",
            "city": "COBURG",
            "state": "OR",
            "postal_code": "97408",
            "telephone_number": "541-284-8605",
            "fax_number": "541-687-9041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2575 NW Kline St",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974718827",
            "country_code": "US",
            "telephone_number": "541-673-3504",
            "fax_number": "541-673-4724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10920 SW Barbur Blvd",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972198600",
            "country_code": "US",
            "telephone_number": "503-244-4500",
            "fax_number": "503-244-2008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 SW Emkay Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977021042",
            "country_code": "US",
            "telephone_number": "541-383-0844",
            "fax_number": "541-383-0840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Price Rd SE",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973227314",
            "country_code": "US",
            "telephone_number": "541-928-9681",
            "fax_number": "541-928-5990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "960 Liberty St SE Ste 120",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973024165",
            "country_code": "US",
            "telephone_number": "503-588-2804",
            "fax_number": "503-371-6743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Country Club Rd Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Eugene",
            "state": "OR",
            "postal_code": "974016089",
            "country_code": "US",
            "telephone_number": "541-485-1577",
            "fax_number": "541-242-2853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SERENITY LANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "CARLIN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-284-8617"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.