IndividualActive
Malia-Rose Forbis, PEER SUPPORT SPEC
NPI 1124376298 · Community Health Worker · Salem, OR
Provider details
- NPI number
- 1124376298
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- PEER SUPPORT SPEC
- Sex
- Female
- Sole proprietor
- Yes
- License
- A4730 (OR)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3878 Beverly Ave Ne Bldg H
Salem, OR 97305-1394
Phone: (503) 576-4584
Approximate (ZIP-level) locationGet directions
Mailing address
379 Knox St N Apt 1
Monmouth, OR 97361-1400
Registry dates
- Enumerated
- 2012-08-21
- Last updated
- 2019-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.