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

Walter Makworo

Individual provider Mental Illness Community Based Residential Treatment Facility · NPI 1093674103

Walter Makworo is a Mental Illness Community Based Residential Treatment Facility in Gresham, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2026

Practice location Address checks out

425 NE 20th Dr
Gresham, OR 97030-2807
Phone: (503) 489-5132
Show map & directions

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

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X (OR)

Record details

NPI number1093674103
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 15, 2026
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address425 Ne 20th Dr, Gresham, OR 97030-2807

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