Individual
AVIEL FORSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
426 SW STARK ST, 5TH FLOOR, PORTLAND, OR 97204-2303
(503) 988-5020
(503) 988-6899
Mailing address
421 SW OAK ST, STE. 210, PORTLAND, OR 97204-1817
(503) 988-7468
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
A3185
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096511
—
OR
Enumeration date
01/15/2015
Last updated
01/16/2015
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