WALTER MAKWORO
NPI 1093674103
Community Based Residential Treatment Facility, Mental Illness in Gresham, OR

Q: What is Walter Makworo's NPI number?

The NPI number for Walter Makworo is 1093674103. It was assigned to this individual provider in the NPPES registry on January 15, 2026.

Q: What is Walter Makworo's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Walter Makworo was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 15, 2026

425 NE 20TH DR, GRESHAM, OR 97030(503) 489-5132 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Walter Makworo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALTER MAKWORO (NPI 1093674103) is an individual community based residential treatment facility, mental illness provider in Gresham, Oregon and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1093674103

Entity TypeIndividualMale

Primary Taxonomy320800000X

Provider Legal NameWALTER MAKWORO

Location Address425 NE 20TH DRGresham, OR 97030-2807

Mailing Address425 Ne 20th DrGresham, OR 97030-2807 · (503) 489-5132

Phone(503) 489-5132

Sole ProprietorYes

Enumeration DateJanuary 15, 2026

NPPES CertifiedJanuary 15, 2026

✔ NPI 1093674103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

425 NE 20TH DR, Gresham, OR 97030

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Walter Makworo's NPI number?

The NPI number for Walter Makworo is 1093674103. It was assigned to this individual provider in the NPPES registry on January 15, 2026.

Where is Walter Makworo located?

Walter Makworo practices at 425 NE 20th Dr, Gresham, OR 97030. The listed phone number is (503) 489-5132.

What is Walter Makworo's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Walter Makworo was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.