Healthcare Provider Details

I. General information

NPI: 1720999063
Provider Name (Legal Business Name): MAKE CARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15040 SW 92ND AVE
TIGARD OR
97224-5728
US

IV. Provider business mailing address

16513 SW GLENEAGLE DR
SHERWOOD OR
97140-9592
US

V. Phone/Fax

Practice location:
  • Phone: 971-804-6276
  • Fax: 650-460-3552
Mailing address:
  • Phone: 971-804-6276
  • Fax: 650-460-3552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ELSA GURARA
Title or Position: OWNER
Credential:
Phone: 971-804-6276