Willow Path Recovery LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

WILLOW PATH RECOVERY LLC

Practice address

18570 SW Honeywood Dr
Beaverton, OR 97003-2915

Phone

(480) 743-7912

NPI assigned

Dec 10, 2025

Last updated

Dec 10, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Yves Mugaba

Title

Administrator

Phone

(480) 743-7912

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1861356214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18570 SW HONEYWOOD DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032915",
            "telephone_number": "480-743-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18570 SW HONEYWOOD DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970032915",
            "telephone_number": "480-743-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW PATH RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "MUGABA",
        "authorized_official_first_name": "YVES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-743-7912",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Renee Williams, OD
• Todd E Williams, M.A., HIS
• Victoria Lynne Williams, RN
• Robin Renee Willins, MSW, LCSW
• Shayne Nicole Willis Baker, PT, DPT, ATC, CIMT
• Bryon Willson, LMT
• Christina Lee Wilson, RDH,BSDH
• Jennifer Michelle Wilson, PT, DPT
• Jessica L Wilson, DO
• Nicholas Ryan Wilson, LMT

• Mental Illness Community Based Residential Treatment Facility in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Mental Illness Community Based Residential Treatment Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.