OrganizationActive
Maple Hollow Rehabilitation and Nursing LLC
NPI 1114492519 · Nursing Facility/Intermediate Care Facility · Portland, OR
Provider details
- NPI number
- 1114492519
- Entity type
- Organization
- Primary specialty
- Nursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Walter Myers, Managing Member(801) 709-4358
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
34 Ne 20th Ave
Portland, OR 97232-3019
Phone: (503) 231-0276
Approximate (ZIP-level) locationGet directions
Mailing address
34 Ne 20th Ave
Portland, OR 97232-3019
Registry dates
- Enumerated
- 2018-10-11
- Last updated
- 2018-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.