Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Prairie Manor

Skilled Nursing Facility in Wilsonville, OR · enumerated 2014 · authorized official Rosemarie Smith, Certified Occupational Therapy Assi.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164844866

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Registry record

Entity type Organization (Type 2)

Legal business name Prairie Manor

Parent organization Yes

Practice address 25117 Sw Parkway Ave, Suite D, Wilsonville, OR, 97070

Phone (708) 754-7601

Enumeration date Jan 15, 2014

Last updated in NPPES Jan 15, 2014

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 057001429 (IL) Primary

Authorized official

Name Rosemarie Smith

Title Certified Occupational Therapy Assi

Phone (708) 474-3116

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Prairie Manor located?

The practice location on file with NPPES is in Wilsonville, OR.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-01-15. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-01-15.