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Organization
FORWARD STRIDE
Active
Organization
FORWARD STRIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERY BRISBANE SAMPSON OTR (OCCUPATIONAL THERAPIST)
(503) 737-5380
Entity
Organization
Contact information
Practice address
18218 SW HORSE TALE DR, BEAVERTON, OR 97007-9789
(503) 590-2959
Mailing address
18218 SW HORSE TALE DR, BEAVERTON, OR 97007-9789
(503) 590-2959
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
2872
OR
Other
Enumeration date
04/13/2017
Last updated
04/13/2017
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