Organization Active NPI

Northwest Serenity LLC

  • Psychiatric/Mental Health Registered Nurse
  • Gresham, OR
National Provider Identifier
1881513638
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
Legal business name
NORTHWEST SERENITY LLC
Practice address
373 SE Baker Ave
Gresham, OR 97080-2018
Phone
(717) 877-7309
Fax
(717) 877-7309
NPI assigned
Jul 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Grace Nyiha Wanyoike, RN
Title
Managing Director
Phone
(717) 877-7309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X Primary

Addresses

Primary practice location

373 SE Baker Ave
Gresham, OR 97080-2018

Mailing address

373 SE Baker Ave
Gresham, OR 97080-2018
Phone (717) 877-7309

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1881513638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 SE BAKER AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970802018",
            "telephone_number": "717-877-7309",
            "fax_number": "717-877-7309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 SE BAKER AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970802018",
            "telephone_number": "717-877-7309",
            "fax_number": "717-877-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SERENITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "WANYOIKE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "NYIHA",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "717-877-7309",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.