OrganizationActive
Serenity Lane
NPI 1104934892 · Substance Abuse Rehabilitation Facility · Coburg, OR
Provider details
- NPI number
- 1104934892
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Brian Carlin, Chief Financial Officer(541) 284-8617
Specialties & taxonomies
Residential Treatment Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1 Serenity Lane
Coburg, OR 97408
Phone: (541) 284-8605
Fax: (541) 687-9041
Approximate (ZIP-level) locationGet directions
Mailing address
P.o. Box 8549
Coburg, OR 97408
Additional practice locations (6)
- 1050 Price Rd SeAlbany, OR 97322-7314Phone: (541) 928-9681Fax: (541) 928-5990
- 920 Sw Emkay DrBend, OR 97702-1042Phone: (541) 383-0844Fax: (541) 383-0840
- 4211 W 11th AveEugene, OR 97402-5435Phone: (541) 485-1577Fax: (541) 242-2853
- 10920 Sw Barbur BlvdPortland, OR 97219-8600Phone: (503) 244-4500Fax: (503) 244-2008
- 2575 Nw Kline StRoseburg, OR 97471-8827Phone: (541) 673-3504Fax: (541) 673-4724
- 960 Liberty St Se Ste 120Salem, OR 97302-4165Phone: (503) 588-2804Fax: (503) 371-6743
Registry dates
- Enumerated
- 2006-08-25
- Last updated
- 2025-03-27
- Certified
- 2025-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.