Kimberly Forrest

NPI #1699154682 in Gresham, Oregon

Provider Information

NPI Number: 1699154682
Entity Type: Individual
Name: Kimberly Forrest
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 22, 2015
Last Updated: May 22, 2015

Practice Location

Address: 4101 NE DIVISION ST
City: Gresham
State: Oregon
ZIP Code: 97030-4617
Phone: (503) 666-6575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Peer Specialist	175T00000X	Primary

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