Organization · Type 2 NPI
Serenity Lane
Substance Abuse Rehabilitation Facility · Coburg, OR
NPI number
1104934892
Active
Practice location
1 Serenity Lane
Coburg, OR 97408
Fax (541) 687-9041
Mailing address
PO Box 8549
Coburg, OR 97408-1313
Other practice locations
- 2575 NW Kline St, Roseburg, OR 97471-8827 · (541) 673-3504
- 10920 SW Barbur Blvd, Portland, OR 97219-8600 · (503) 244-4500
- 920 SW Emkay Dr, Bend, OR 97702-1042 · (541) 383-0844
- 1050 Price Rd SE, Albany, OR 97322-7314 · (541) 928-9681
- 960 Liberty St SE Ste 120, Salem, OR 97302-4165 · (503) 588-2804
- 920 Country Club Rd Ste 100B, Eugene, OR 97401-6089 · (541) 485-1577
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Multi-Specialty Clinic/Center | 261QM1300X | None listed |
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
3 other providers at this address
Other substance abuse rehabilitation facility providers in Coburg
About NPI 1104934892
Serenity Lane's National Provider Identifier is 1104934892, issued on Aug 25, 2006. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Coburg, OR. The record was last updated on Aug 17, 2026.