NPI 1104934892
Serenity Lane
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
Multi-Specialty Clinic/Center
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.