Pacific Wellness Pathway LLC
NPI 1720934482 · Mental Illness Community Based Residential Treatment Facility · Gresham, OR
Pacific Wellness Pathway LLC is a Mental Illness Community Based Residential Treatment Facility organization in Gresham, OR (NPI 1720934482).
Provider details
- NPI number
- 1720934482
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Samirawit Biratu, Program Administrator(813) 385-8389
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2026-03-05
- Last updated
- 2026-03-05
- Certified
- 2026-03-05
Frequently asked questions
- What is Pacific Wellness Pathway LLC's NPI number?
- Pacific Wellness Pathway LLC's National Provider Identifier (NPI) is 1720934482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Wellness Pathway LLC?
- Pacific Wellness Pathway LLC is classified in the NPPES registry as Mental Illness Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Pacific Wellness Pathway LLC located?
- Pacific Wellness Pathway LLC's practice location on file with NPPES is 3085 Ne 18th Ct, Gresham, OR 97030-4328.
- What is Pacific Wellness Pathway LLC's phone number?
- The practice phone number listed in the NPPES registry for Pacific Wellness Pathway LLC is (813) 385-8389.
- Who is the authorized official for Pacific Wellness Pathway LLC?
- The authorized official listed on Pacific Wellness Pathway LLC's NPPES record is Samirawit Biratu, Program Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Wellness Pathway LLC's NPI active?
- Yes — Pacific Wellness Pathway LLC's NPI (1720934482) is active in the NPPES registry as of the last update on 2026-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.