Forward Stride

NPI #1437256013 in Beaverton, Oregon

Provider Information

NPI Number: 1437256013
Entity Type: Organization
Organization Name: Forward Stride
Primary Specialty: Clinic/Center
Enumeration Date: Sep 17, 2006
Last Updated: Jul 11, 2019

Practice Location

Address: 23839 SW DANIEL RD
City: Beaverton
State: Oregon
ZIP Code: 97078-5400
Phone: (503) 217-2058

Authorized Official

Name: AMBER HENNECK VARNER
Title: EXECUTIVE DIRECTOR
Phone: (503) 217-2058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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