MAPLE STREET CLINIC PHARMACY
NPI 1912064478
Pharmacy - Clinic Pharmacy in Forest Grove, OR

Active since January 03, 2007
1825 MAPLE ST, FOREST GROVE, OR 97116(503) 357-7552(503) 359-5071 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maple Street Clinic Pharmacy NPPES

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

MAPLE STREET CLINIC PHARMACY (NPI 1912064478) is a healthcare organization registered as a clinic pharmacy in Forest Grove, Oregon and active in the NPI registry since January 2007. The organization lists Christopher Vorrath, Pres, as its authorized official.

NPPES Registry Identity

NPI1912064478
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameMAPLE STREET CLINIC PHARMACY LLC
Location Address1825 MAPLE STForest Grove, OR 97116-1939
Mailing Address1825 Maple StForest Grove, OR 97116-1939
Fax(503) 359-5071
Organization SubpartNo
Authorized OfficialChristopher VorrathPres · (503) 357-7552
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJune 23, 2008
NPI 1912064478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License Licensed in OR · RP0000674CS
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
1825 MAPLE ST, Forest Grove, OR 97116

Other Names 1

Doing Business AsMaple Street Clinic Pharmacy

Other Identifiers 3

Other3810163Other Id Number-commercial Number
Other3810163Other Id Number
Medicaid0003280OR

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.

Family Medicine
1825 MAPLE ST
FOREST GROVE, OR 97116
Physician Assistant (Medical)
1825 MAPLE ST
FOREST GROVE, OR 97116
Pediatrics
1825 MAPLE ST
FOREST GROVE, OR 97116
Family Medicine
1825 MAPLE ST
FOREST GROVE, OR 97116
Physician Assistant (Medical)
1825 MAPLE ST
FOREST GROVE, OR 97116
Physician Assistant
1825 MAPLE ST
FOREST GROVE, OR 97116
Physician Assistant
1825 MAPLE ST
FOREST GROVE, OR 97116
Family Medicine
1825 MAPLE ST
FOREST GROVE, OR 97116

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 Maple Street Clinic Pharmacy LLC's NPI number?

The NPI number for Maple Street Clinic Pharmacy LLC is 1912064478. It was assigned to this organization in the NPPES registry on January 3, 2007. The provider is doing business as Maple Street Clinic Pharmacy.

Where is Maple Street Clinic Pharmacy LLC located?

Maple Street Clinic Pharmacy LLC is located at 1825 Maple St, Forest Grove, OR 97116. The listed phone number is (503) 357-7552.

What is Maple Street Clinic Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

When was this NPI record last updated?

The NPPES record for Maple Street Clinic Pharmacy LLC was last updated on June 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.