| Forward Stride | |
|
23839 Sw Daniel Rd Beaverton OR 97078-5400 | |
| (503) 217-2058 | |
| (503) 217-2168 |
| Full Name | Forward Stride |
|---|---|
| Speciality | Clinic/center |
| Location | 23839 Sw Daniel Rd, Beaverton, Oregon |
| Authorized Official Name and Position | Amber Henneck Varner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5032172058 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Stride 23839 Sw Daniel Rd Beaverton OR 97078-5400 Ph: (503) 217-2058 | Forward Stride 23839 Sw Daniel Rd Beaverton OR 97078-5400 Ph: (503) 217-2058 |
| NPI Number | 1437256013 |
|---|---|
| Provider Enumeration Date | 09/17/2006 |
| Last Update Date | 07/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437256013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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