Organization
FORWARD STRIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER HENNECK VARNER (EXECUTIVE DIRECTOR)
(503) 217-2058
Entity
Organization
Contact information
Practice address
23839 SW DANIEL RD, BEAVERTON, OR 97078-5400
(503) 217-2058
(503) 217-2168
Mailing address
23839 SW DANIEL RD, BEAVERTON, OR 97078-5400
(503) 217-2058
(503) 217-2168
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2006
Last updated
07/11/2019
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