Whalio Doctors

NPI 1104934892

Serenity Lane

Organisation Substance Abuse Rehabilitation Facility Coburg, OR

Practice location

Address
1 Serenity Lane, Coburg, OR 97408
Phone
(541) 284-8605
Fax
(541) 687-9041
Mailing address
P.O. Box 8549 1 Serenity Lane, Coburg, OR 97408

Authorised official

Name
Brian Carlin
Title
Chief Financial Officer
Phone
(541) 284-8617

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X
Multi-Specialty Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM1300X

Registry record

NPI
1104934892
Entity type
Organization
NPI issued
25 Aug 2006
Record last updated
27 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.