Individual
MS. ANNA FORSLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
4204 SE LONG ST, PORTLAND, OR 97206-4122
(503) 771-4088
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
22271
OR
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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