# FORWARDSTRIDE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194260927
- **Authorized official:** AMBER VARNER (ASSOCIATE EXECUTIVE DIRECTOR)
- **Authorized official phone:** (503) 590-2959

## Contact information

- **Practice address:** 18218 SW HORSE TALE DR, BEAVERTON, OR 97007-9789
- **Practice address phone:** (503) 590-2959
- **Practice address fax:** (503) 590-2969
- **Mailing address:** 18218 SW HORSE TALE DR, BEAVERTON, OR 97007-9789
- **Mailing address phone:** (503) 590-2959
- **Mailing address fax:** (503) 590-2969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 405300000X | Prevention Professional | 579722 | OR | Yes |

## Other

- **Enumeration date:** 01/03/2017
- **Last updated:** 01/03/2017