Pacific Wellness Pathway LLC
Pacific Wellness Pathway LLC is a healthcare organization registered as Mental Illness Community Based Residential Treatment Facility in Gresham, OR, holding Type 2 (organization) NPI 1720934482 since 2026. The authorized official on file is Samirawit Biratu, Program Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720934482 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pacific Wellness Pathway LLC |
| Practice address | 3085 NE 18TH CT, Gresham, OR, 97030 |
| Phone | 8133858389 |
| Enumeration date | 2026-03-05 |
| Last updated in NPPES | 2026-03-05 |
Authorized official
| Name | Samirawit Biratu |
|---|---|
| Title | Program Administrator |
| Phone | 8133858389 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 320800000X | Mental Illness Community Based Residential Treatment Facility | Primary | — | — |
Copy-ready billing details
Provider: Pacific Wellness Pathway LLC NPI: 1720934482 Taxonomy: 320800000X (Mental Illness Community Based Residential Treatment Facility) Address: 3085 NE 18TH CT, Gresham, OR, 97030
Verify this record
Cross-check NPI 1720934482 against the authoritative CMS record: view Pacific Wellness Pathway LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Pacific Wellness Pathway LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-03-05.