PACIFIC WELLNESS PATHWAY LLC
NPI 1720934482
Community Based Residential Treatment Facility, Mental Illness in Gresham, OR

Q: What is Pacific Wellness Pathway LLC's NPI number?

The NPI number for Pacific Wellness Pathway LLC is 1720934482. It was assigned to this organization in the NPPES registry on March 5, 2026.

Q: What is Pacific Wellness Pathway LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since March 05, 2026

3085 NE 18TH CT, GRESHAM, OR 97030(813) 385-8389 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pacific Wellness Pathway Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC WELLNESS PATHWAY LLC (NPI 1720934482) is a healthcare organization registered as a community based residential treatment facility, mental illness in Gresham, Oregon and active in the NPI registry since March 2026. The organization lists Samirawit Adugna Biratu, Program Administrator, as its authorized official.

NPPES Registry Identity

NPI1720934482

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NamePACIFIC WELLNESS PATHWAY LLC

Location Address3085 NE 18TH CTGresham, OR 97030-4328

Mailing Address3085 Ne 18th CtGresham, OR 97030-4328 · (813) 385-8389

Phone(813) 385-8389

Organization SubpartNo

Authorized OfficialSamirawit Adugna BiratuProgram Administrator · (813) 385-8389

Enumeration DateMarch 5, 2026

NPPES CertifiedMarch 5, 2026

✔ NPI 1720934482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

3085 NE 18TH CT, Gresham, OR 97030

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Wellness Pathway LLC's NPI number?

The NPI number for Pacific Wellness Pathway LLC is 1720934482. It was assigned to this organization in the NPPES registry on March 5, 2026.

Where is Pacific Wellness Pathway LLC located?

Pacific Wellness Pathway LLC is located at 3085 NE 18th Ct, Gresham, OR 97030. The listed phone number is (813) 385-8389.

What is Pacific Wellness Pathway LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Pacific Wellness Pathway LLC was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.