Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prairie Manor

Organization Skilled Nursing Facility · NPI 1164844866

Prairie Manor is a Skilled Nursing Facility in Wilsonville, Oregon. Licensed in Illinois. Registered with an NPI since 2014.

Licensed in
IL
In the registry since
2014

Practice location Address checks out

25117 SW Parkway Ave Ste D
Wilsonville, OR 97070-9697
Phone: (708) 754-7601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 057001429 (IL)

Record details

NPI number1164844866
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationYes
Authorized official Rosemarie Smith — Certified Occupational Therapy Assi · (708) 474-3116
NPI enumeratedJanuary 15, 2014
Last updated in NPPESJanuary 15, 2014
Mailing address25117 Sw Parkway Ave, Suite D, Wilsonville, OR 97070-9697

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