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Maryville Nursing Home

Alzheimer Center (Dementia Center) in Beaverton, OR · enumerated 2005 · authorized official Kathleen Parry, Administrator.

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

National Provider Identifier

1285631036

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Registry record

Entity type Organization (Type 2)
Legal business name Maryville Nursing Home
Practice address 14645 Sw Farmington Rd, Beaverton, OR, 97007
Phone (503) 643-8626
Fax (503) 520-1435
Enumeration date Jul 7, 2005
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Secondary
313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities Secondary
311500000X Alzheimer Center (Dementia Center) Nursing & Custodial Care Facilities Primary

Authorized official

Name Kathleen Parry
Title Administrator
Phone (503) 643-8626

Other identifiers

Identifier Type State Issuer
806745 Medicaid OR -

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.

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Frequently asked questions

What is the NPI number for Maryville Nursing Home?
The NPI for Maryville Nursing Home is 1285631036, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Maryville Nursing Home?
NPPES lists Kathleen Parry (Administrator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.