MAPLE STREET CLINIC, PC
NPI 1225066194
Family Medicine in Forest Grove, OR

Q: What is Maple Street Clinic, PC's NPI number?

The NPI number for Maple Street Clinic, PC is 1225066194. It was assigned to this organization in the NPPES registry on June 29, 2006.

Q: What is Maple Street Clinic, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 29, 2006

1825 MAPLE ST, FOREST GROVE, OR 97116(503) 357-2136(503) 359-5479 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Maple Street Clinic, Pc NPPES

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

MAPLE STREET CLINIC, PC (NPI 1225066194) is a healthcare organization registered as a family medicine in Forest Grove, Oregon and active in the NPI registry since June 2006. The organization lists John Dahlquist, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1225066194

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameMAPLE STREET CLINIC, PC

Location Address1825 MAPLE STForest Grove, OR 97116-1939

Mailing Address1825 Maple StForest Grove, OR 97116-1939 · (503) 357-2136 · Fax (503) 359-5479

Phone(503) 357-2136

Fax(503) 359-5479

Organization SubpartNo

Authorized OfficialJohn DahlquistClinic Administrator · (503) 357-2136

Enumeration DateJune 29, 2006

Last NPPES UpdateJanuary 10, 2013

✔ NPI 1225066194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1825 MAPLE ST, Forest Grove, OR 97116

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Other Identifiers 1

OtherR0000WCBCCOR · Medicare Ptin

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

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

SHERIDAN THIRINGER D.O.

Family Medicine