Individual
AUDREY MARIE FORBES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(971) 219-2884
Mailing address
2345 NW MARSHALL ST, APT 104, PORTLAND, OR 97210-2937
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
278298
OR
Other
Enumeration date
02/25/2011
Last updated
02/25/2011
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