OrganizationActive
Forwardstride
NPI 1194260927 · Prevention Professional · Beaverton, OR
Provider details
- NPI number
- 1194260927
- Entity type
- Organization
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Organization subpart
- No
- Authorized official
- Amber Varner, Associate Executive Director(503) 590-2959
- License
- 579722 (OR)
Specialties & taxonomies
Other Service Providers
Practice location
18218 Sw Horse Tale Dr
Beaverton, OR 97007-9789
Phone: (503) 590-2959
Fax: (503) 590-2969
Approximate (ZIP-level) locationGet directions
Mailing address
18218 Sw Horse Tale Dr
Beaverton, OR 97007-9789
Registry dates
- Enumerated
- 2017-01-03
- Last updated
- 2017-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.