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Maple Street Clinic, PC

NPI 1225066194ActiveOrganization· Family Medicine· Forest Grove, OR

Family Medicine in Forest Grove, Oregon, registered in NPPES in June 2006. The authorized official on file is John Dahlquist, Clinic Administrator.

Overview

NPI1225066194
StatusActive
Entity typeOrganization
NPI issuedJun 29, 2006
Last updated in NPPESJan 10, 2013

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Forest Grove

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