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SERENITY LANE NPI 1619429396


NPI Information

NPI: 1619429396
Provider Name: SERENITY LANE
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 38D0699643

Address:
304 DARTMOOR DRIVE
EUGENE, OR
ZIP 97401
Phone: (541) 687-1110
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SERENITY LANE is a substance abuse rehabilitation facility in Eugene, OR. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SERENITY LANE NPI is 1619429396. The provider is registered as an organization entity type.

The provider's business location address is:

304 DARTMOOR DRIVE
EUGENE, OR
ZIP 97401
Phone: (541) 687-1110

The provider's authorized official is Linda Vik .
The authorized official title is Counselor and has the following contact phone number (541) 284-5689.

The CLIA number assigned to this NPI record is 38D0699643 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/28/2016 and was last updated on 10/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility16-09-13OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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