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Active NPI 1437256013 Organization (Entity Type 2)

Forward Stride

Clinic/Center • Beaverton, OR

About Forward Stride NPI 1437256013 Summary

Forward Stride is a verified healthcare organization specializing in Clinic/Center operating in Beaverton, OR. Located at 23839 SW DANIEL RD, this facility provides patient care and medical services under National Provider Identifier (NPI) 1437256013.

Administrative operations and authorized compliance are overseen by Amber Varner (Executive Director).

The facility is associated with 5 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

23839 Sw Daniel Rd

Beaverton, OR 970785400

Telephone 5032172058
Fax 5032172168

Authorized Official Information

Authorized Contact Name

Amber Varner

Title / Role

Executive Director

Official Telephone

5032172058

Facility Classifications & Specialties

Clinic/Center Primary Taxonomy

NUCC Taxonomy Code: 261Q00000X

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

5 Linked
Heidi Paget , PTA NPI 1194209973

Physical Therapy Assistant

Beaverton, OR

View Practitioner Profile →

Occupational Therapist

Beaverton, OR

View Practitioner Profile →
Shannon Tabbal NPI 1386223139

Counselor

Beaverton, OR

View Practitioner Profile →

Social Worker - Clinical

Beaverton, OR

View Practitioner Profile →

Speech-Language Pathologist

Beaverton, OR

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

9 Historical Events
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Updated Practice Location July 11, 2019

Registered at 23839 SW DANIEL RD, BEAVERTON, OR 970785400 (Tel: 5032172058)

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Updated Business Mailing Address July 11, 2019

Registered at 23839 SW DANIEL RD, BEAVERTON, OR 970785400 (Tel: 5032172058)

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Clinic/Center

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 28203 SW 110TH AVE, WILSONVILLE, OR 970709520 (Tel: 5036829022)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 19850, PORTLAND, OR 972800850 (Tel: 5036829022)

🏛️
Organization / Clinic Name Updated July 08, 2007

Operating as FORWARD STRIDE

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Clinic/Center

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Initial NPI Registration & Enumeration September 17, 2006

First registered as active Healthcare Organization in NPPES Database.

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NPI Organization Metadata

NPI Number: 1437256013
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: September 17, 2006
Last Update: July 11, 2019

Mailing Address

23839 Sw Daniel Rd

Beaverton, OR 970785400

Phone: 5032172058

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.