| Fora Health Inc. | |
|
10230 Se Cherry Blossom Dr Portland OR 97216 | |
| (503) 535-1150 | |
| (503) 535-1190 |
| Full Name | Fora Health Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 10230 Se Cherry Blossom Dr, Portland, Oregon |
| Authorized Official Name and Position | Mallory Juanita-ann Johnson (CONTRACT COORDINATOR) |
| Authorized Official Contact | 5035351156 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fora Health Inc. P.o.box 16040 Portland OR 97292 Ph: (503) 535-1150 | Fora Health Inc. 10230 Se Cherry Blossom Dr Portland OR 97216 Ph: (503) 535-1150 |
| NPI Number | 1245378546 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245378546 | NPI | - | NPPES |
| 299811 | Medicaid | OR |
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