National Provider Identifier Database

FORA HEALTH INC
Mental Health (Including Community Mental Health Center)

Contact Information

FORA HEALTH INC.
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR  97216
Phone: 503-535-1150
Fax: 503-535-1190
Website:
Specialty Taxonomy Code
* Mental Health (Including Community Mental Health Center) 261QM0801X
Addiction (Substance Use Disorder) 101YA0400X
Adult Mental Health 261QM0850X
Community Based Residential Treatment Facility, Mental Illness 320800000X
Mental Health 101YM0800X
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Rehabilitation, Substance Use Disorder 261QR0405X
Substance Abuse Disorder Rehabilitation Facility 324500000X
Substance Abuse Treatment, Children 3245S0500X

* Indicates primary specialty

NPI Profile & details for FORA HEALTH INC.

NPI Number 1245378546
Legal business name
LBN		 FORA HEALTH INC.
Authorized official MALLORY JOHNSON - (CONTRACT COORDINATOR)
Entity Organization
Organization subpart No
Enumeration date 02/01/2007
Last updated 07/27/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • OR Medicaid: 299811

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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