PATH LIGHT AGENCY LLC NPI 1801637756

NPI Information

  • NPI: 1801637756
  • Provider Name: PATH LIGHT AGENCY LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 526 SE 128TH AVE
    PORTLAND, OR
    ZIP 97233
  • Phone: (503) 810-7879

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NPI Details

PATH LIGHT AGENCY LLC is a community based residential treatment facility mental illness in Portland, OR. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PATH LIGHT AGENCY LLC NPI is 1801637756. The provider is registered as an organization entity type.

The provider's business location address is:

526 SE 128TH AVE
PORTLAND, OR
ZIP 97233-602
Phone: (503) 810-7879
Fax: (971) 339-3946

The provider's authorized official is Elijah N Karanja .
The authorized official title is Provider and has the following contact phone number (503) 810-7879.

The enumeration date for this NPI number is 6/4/2024 and was last updated on 7/30/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

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: 11/21/2025

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