MARIE ROSE CENTER
NPI 1205827037
Skilled Nursing Facility in Lake Oswego, OR

Active since November 01, 2005CLIA 38D0982110 · Waiver
17360 HOLY NAMES DR, LAKE OSWEGO, OR 97034(503) 675-2475(503) 675-3937 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Marie Rose Center NPPES

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

MARIE ROSE CENTER (NPI 1205827037) is a healthcare organization registered as a skilled nursing facility in Lake Oswego, Oregon and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Diane Elizabeth Hood, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205827037
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameMARY'S WOODS AT MARYLHURST, INC
Location Address17360 HOLY NAMES DRLake Oswego, OR 97034-5137
Mailing Address17400 Holy Names Dr, Suite 70Lake Oswego, OR 97034-5187 · (503) 675-2447 · Fax (503) 675-2015
Fax(503) 675-3937
Organization SubpartNo
Authorized OfficialDiane Elizabeth HoodCfo · (503) 675-2448
Enumeration DateNovember 1, 2005
Last NPPES UpdateJuly 24, 2014
✔ NPI 1205827037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedAssisted Living FacilityTaxonomy 310400000X
Also ListedAlzheimer Center (Dementia Center)Taxonomy 311500000X
17360 HOLY NAMES DR, Lake Oswego, OR 97034

Other Names 1

Doing Business AsMarie Rose Center

Other Identifiers 3

Medicaid800046OR
Medicare ID-Type Unspecified38-5265OR
Medicaid508756OR

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D0982110

Marie Rose Center · Lake Oswego, OR
Active · expires Jan 16, 2027
CLIA Number38D0982110
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorIrit Mandelsberg
Laboratory Phone(503) 675-2475
Laboratory LocationMarie Rose Center17360 Holy Names Drive, Lake Oswego, OR 97034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034
Speech-Language Pathologist
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034
Physical Therapist
17360 HOLY NAMES DR, BUILDING D
LAKE OSWEGO, OR 97034
Clinic/Center
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034
Physical Therapy Assistant
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034
Physical Therapist
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034
Physical Therapy Assistant
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034
Physical Therapy Assistant
17360 HOLY NAMES DR
LAKE OSWEGO, OR 97034

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 Mary's Woods At Marylhurst, Inc's NPI number?

The NPI number for Mary's Woods At Marylhurst, Inc is 1205827037. It was assigned to this organization in the NPPES registry on November 1, 2005. The provider is doing business as Marie Rose Center.

Where is Mary's Woods At Marylhurst, Inc located?

Mary's Woods At Marylhurst, Inc is located at 17360 Holy Names Dr, Lake Oswego, OR 97034. The listed phone number is (503) 675-2475.

What is Mary's Woods At Marylhurst, Inc's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Mary's Woods At Marylhurst, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D0982110) is associated with this NPI, valid through January 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mary's Woods At Marylhurst, Inc was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.