Organization Active NPI

Forward Path Living LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Portland, OR
National Provider Identifier
1467356659
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
FORWARD PATH LIVING LLC
Practice address
7321 SE 103Rd Ave
Portland, OR 97266-6054
Phone
(503) 703-7167
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Zekaryas Adem
Title
Director
Phone
(503) 703-7167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

7321 SE 103Rd Ave
Portland, OR 97266-6054

Mailing address

7321 SE 103Rd Ave
Portland, OR 97266-6054
Phone (503) 703-7167

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1467356659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 SE 103RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972666054",
            "telephone_number": "503-703-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 SE 103RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972666054",
            "telephone_number": "503-703-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD PATH LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-09-25",
        "status": "A",
        "authorized_official_last_name": "ADEM",
        "authorized_official_first_name": "ZEKARYAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-703-7167"
    },
    "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 Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.