Individual
ANTONIA FORSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5440 SW WESTGATE DR, SUITE 175, PORTLAND, OR 97221-2420
(971) 998-7489
(503) 297-5744
Mailing address
5440 SW WESTGATE DR, SUITE 175, PORTLAND, OR 97221-2420
(971) 998-7489
(503) 297-5744
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
667
OR
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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