MAPLE STREET CLINIC, PC – Family Medicine Physician, NPI 1225066194

MAPLE STREET CLINIC, PC is a healthcare provider. based in Forest grove, Oregon. specializing in Family Medicine Physician. The NPI Number for MAPLE STREET CLINIC, PC is 1225066194

Main info

Organization
Name
MAPLE STREET CLINIC, PC
NPI
1225066194
Phone
(503) 357-2136
Address
1825 MAPLE ST
Authorized Official
MR. JOHN DAHLQUIST CLINIC ADMINISTRATOR
Enumeration Date
29 June 2006
Last Update Date
10 January 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for MAPLE STREET CLINIC, PC

  • Maple Street Clinic, 1825, Maple Street, Forest Grove, Metro, Washington County, Oregon, 97116, United States

    FOREST GROVE, OR 971161939

    Phone: (503) 357-2136

    Fax: (503) 359-5479

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97116)

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Reviews

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Frequently asked questions

How do payers reference MAPLE STREET CLINIC, PC?
For MAPLE STREET CLINIC, PC, use NPI 1225066194 as the unique 10-digit identifier.
Would MAPLE STREET CLINIC, PC appear as active to a payer?
You can treat MAPLE STREET CLINIC, PC as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MAPLE STREET CLINIC, PC?
At a glance, MAPLE STREET CLINIC, PC is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MAPLE STREET CLINIC, PC associated with Forest Grove?
Public fields place MAPLE STREET CLINIC, PC around Forest Grove, Oregon. Always confirm the exact site before visiting.
Does MAPLE STREET CLINIC, PC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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