Search › Oregon › 172V00000X
Malia-Rose Forbis, PEER SUPPORT SPEC
NPI 1124376298 · on the registry since 2012 · sole proprietor
Practice
- Address
- 3878 Beverly Ave Ne Bldg H
Salem, OR 97305 - Phone
- (503) 576-4584
- Clinicians at this address
- 23
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Also registered as
- 171M00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon