Organization · Type 2 NPI
Pacific Wellness Pathway LLC
Mental Illness Community Based Residential Treatment Facility · Gresham, OR
NPI number
1720934482
Active
Practice location
3085 NE 18th Ct
Gresham, OR 97030-4328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1720934482
Pacific Wellness Pathway LLC's National Provider Identifier is 1720934482, issued on Mar 5, 2026. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Gresham, OR. The record was last updated on Mar 5, 2026.