Forwardstride

NPI #1194260927 in Beaverton, Oregon

Provider Information

NPI Number: 1194260927
Entity Type: Organization
Organization Name: Forwardstride
Primary Specialty: Prevention Professional
Enumeration Date: Jan 3, 2017
Last Updated: Jan 3, 2017

Practice Location

Address: 18218 SW HORSE TALE DR
City: Beaverton
State: Oregon
ZIP Code: 97007-9789
Phone: (503) 590-2959

Authorized Official

Name: AMBER VARNER
Title: ASSOCIATE EXECUTIVE DIRECTOR
Phone: (503) 590-2959

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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