NPI 1033968193
Fora Health INC.
Practice location
- Address
- 10230 SE Cherry Blossom Dr, Portland, OR 97216-2821
- Phone
- (503) 535-1150
- Fax
- (503) 535-1190
- Mailing address
- PO Box 16040, Portland, OR 97292-0040
Authorised official
- Name
- Mallory Johnson
- Title
- Billing and Contracts Coordinator
- Phone
- (503) 535-1150
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1033968193
- Entity type
- Organization
- NPI issued
- 13 May 2024
- Record last updated
- 13 May 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.