NPIMap

Organization Active NPI

Fora Health Inc.

Doing business as Fora Health Treatment and Recovery

  • Substance Abuse Rehabilitation Facility
  • Portland, OR
National Provider Identifier
1033968193
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FORA HEALTH INC.
Doing business as
Fora Health Treatment and Recovery
Practice address
10230 SE Cherry Blossom Dr
Portland, OR 97216-2821
Phone
(503) 535-1150
Fax
(503) 535-1190
NPI assigned
May 13, 2024
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mallory Johnson
Title
Billing and Contracts Coordinator
Phone
(503) 535-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

10230 SE Cherry Blossom Dr
Portland, OR 97216-2821

Mailing address

PO Box 16040
Portland, OR 97292-0040
Phone (503) 535-1150

Other practice location 1

205 SE 3rd Ave Ste 100
Hillsboro, OR 97123-4087
Phone (503) 535-1150

Other names 1

  • Fora Health Treatment and Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Depaul Treatment Centers9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

205 SE 3rd Ave
Ste 100
Hillsboro, OR 97123
Phone (503) 693-3104

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1033968193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16040",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972920040",
            "telephone_number": "503-535-1150",
            "fax_number": "503-535-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 SE CHERRY BLOSSOM DR",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162821",
            "telephone_number": "503-535-1150",
            "fax_number": "503-535-1190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 SE 3rd Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971234087",
            "country_code": "US",
            "telephone_number": "503-535-1150",
            "fax_number": "503-535-1190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORA HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "BILLING AND CONTRACTS COORDINATOR",
        "authorized_official_telephone_number": "503-535-1150"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fora Health Treatment and Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.