NPIMap

Organization Active NPI

Forward Stride

  • Clinic/Center
  • Beaverton, OR
National Provider Identifier
1437256013
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
FORWARD STRIDE
Practice address
23839 SW Daniel Rd
Beaverton, OR 97078-5400
Phone
(503) 217-2058
Fax
(503) 217-2168
NPI assigned
Sep 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Amber Henneck Varner
Title
Executive Director
Phone
(503) 217-2058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

23839 SW Daniel Rd
Beaverton, OR 97078-5400

Mailing address

23839 SW Daniel Rd
Beaverton, OR 97078-5400
Phone (503) 217-2058

National Provider Directory

National Provider Directory
Tax ID family
Forward Stride2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

23839 SW Daniel Rd
Beaverton, OR 97078
Phone (503) 217-2035

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1437256013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23839 SW DANIEL RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970785400",
            "telephone_number": "503-217-2058",
            "fax_number": "503-217-2168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23839 SW DANIEL RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970785400",
            "telephone_number": "503-217-2058",
            "fax_number": "503-217-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD STRIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "VARNER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "HENNECK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "503-217-2058"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.