Individual
MRS. CYNTHIA MARIE FORST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10514 SW NAEVE ST, TIGARD, OR 97224-3516
(503) 598-9206
Mailing address
10514 SW NAEVE ST, TIGARD, OR 97224-3516
(503) 598-9206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
914513
OR
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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