Individual provider · Type 1 NPI

Walter Makworo

Mental Illness Community Based Residential Treatment Facility · Gresham, OR

NPI number 1093674103 Active

Practice location

425 NE 20th Dr
Gresham, OR 97030-2807

Call (503) 489-5132 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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About NPI 1093674103

Walter Makworo's National Provider Identifier is 1093674103, issued on Jan 15, 2026. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Gresham, OR. The record was last updated on Jan 15, 2026.