SERENITY LANE – NPI #1104934892
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.

SERENITY LANE is a substance abuse rehabilitation facility located in COBURG, OR. NPPES has assigned the NPI number 1104934892 to SERENITY LANE on August 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 6 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Mar 27, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SERENITY LANE below.

NPI Profile for
SERENITY LANE

NPI Number
1104934892
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SERENITY LANE
Primary location
1 SERENITY LANE
COBURG, OR 97408
Phone: (541) 284-8605 Fax: (541) 687-9041
6 Other location(s):
1050 Price Rd SE
Albany, OR 97322-7314
Phone: (541) 928-9681
Fax: (541) 928-5990
920 SW Emkay Dr
Bend, OR 97702-1042
Phone: (541) 383-0844
Fax: (541) 383-0840
4211 W 11th Ave
Eugene, OR 97402-5435
Phone: (541) 485-1577
Fax: (541) 242-2853
10920 SW Barbur Blvd
Portland, OR 97219-8600
Phone: (503) 244-4500
Fax: (503) 244-2008
2575 NW Kline St
Roseburg, OR 97471-8827
Phone: (541) 673-3504
Fax: (541) 673-4724
960 Liberty St SE Ste 120
Salem, OR 97302-4165
Phone: (503) 588-2804
Fax: (503) 371-6743
Mailing address
P.O. BOX 8549
1 SERENITY LANE
COBURG, OR 97408
Phone: (541) 284-8605 Fax: (541) 687-9041
Organization Subpart
No
Authorized Official
BRIAN CARLIN
CHIEF FINANCIAL OFFICER
Phone: (541) 284-8617
Updated
Certification Date
Mar 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
261QM1300X
- Clinic/Center / Multi-Specialty

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.