Healthcare Provider Details

I. General information

NPI: 1730001306
Provider Name (Legal Business Name): BIRGHTPATH HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9965 SW PIMLICO TER
BEAVERTON OR
97008-7692
US

IV. Provider business mailing address

9965 SW PIMLICO TER
BEAVERTON OR
97008-7692
US

V. Phone/Fax

Practice location:
  • Phone: 240-481-6923
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: GELETA DEME
Title or Position: OWNER
Credential:
Phone: 240-481-6923