WALTER MAKWORO – NPI #1093674103
Community Based Residential Treatment Facility, Mental Illness

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

WALTER MAKWORO is a community based residential treatment facility located in GRESHAM, OR. NPPES has assigned the NPI number 1093674103 to WALTER MAKWORO on January 15, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

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NPI Profile for
WALTER MAKWORO

NPI Number
1093674103
Enumeration Date

(about 5 months ago)
Entity Type
Type-1  Individual (Male)
Legal Name
WALTER MAKWORO
Primary location
425 NE 20TH DR
GRESHAM, OR 97030-2807
Phone: (503) 489-5132 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jan 15, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
OR

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.