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FORA HEALTH INC.
NPI 1033968193
Substance Abuse Rehabilitation Facility in Portland, OR

Active since May 13, 2024CLIA 38D2203250 · Waiver
10230 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216(503) 535-1150(503) 535-1190 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fora Health Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORA HEALTH INC. (NPI 1033968193), doing business as Fora Health Treatment And Recovery, is a healthcare organization registered as a substance abuse rehabilitation facility in Portland, Oregon and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through December 2, 2026, maintains a secondary practice location in Hillsboro, and lists Mallory Johnson, Billing And Contracts Coordinator, as its authorized official.

NPPES Registry Identity

NPI1033968193
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameFORA HEALTH INC.
Location Address10230 SE CHERRY BLOSSOM DRPortland, OR 97216-2821
Mailing AddressPo Box 16040Portland, OR 97292-0040 · (503) 535-1150 · Fax (503) 535-1190
Phone(503) 535-1150
Fax(503) 535-1190
Organization SubpartNo
Authorized OfficialMallory JohnsonBilling And Contracts Coordinator · (503) 535-1150
Enumeration DateMay 13, 2024
NPPES CertifiedMay 13, 2024
✔ NPI 1033968193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
10230 SE CHERRY BLOSSOM DR, Portland, OR 97216
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Other Names 1

Doing Business AsFora Health Treatment And Recovery

Secondary Practice Location 1

Location 1205 SE 3rd Ave Ste 100Hillsboro, OR 97123-4087 · Phone (503) 535-1150 · Fax (503) 535-1190

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2203250

Fora Health Inc · Portland, OR
Active · expires Dec 2, 2026
CLIA Number38D2203250
Laboratory TypeResidential Treatment Fac
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorDr. Jennifer Hartley
Laboratory Phone(503) 535-1150
Laboratory LocationFora Health Inc10230 SE Cherry Blossom Dr, Portland, OR 97216
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNA MARI SCOTT
Counselor (Professional)
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1151
KAYLA MITCHUM
Registered Nurse
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150
FORA HEALTH INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150
DANIELLE DEAL
Counselor (Addiction (Substance Use Disorder))
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150
ISABELLA EILEEN GILLESPIE CRM
Peer Specialist
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1151
NINFA HALAY-AY LPN
Licensed Practical Nurse
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1175
JAKE MOXLEY CADC I
Counselor (Addiction (Substance Use Disorder))
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150
CHRISTOPHER FUNK
Counselor (Addiction (Substance Use Disorder))
10230 SE CHERRY BLOSSOM DR
PORTLAND, OR 97216
Multnomah County (503) 535-1150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fora Health Inc.'s NPI number?

The NPI number for Fora Health Inc. is 1033968193. It was assigned to this organization in the NPPES registry on May 13, 2024. The provider is doing business as Fora Health Treatment and Recovery.

Where is Fora Health Inc. located?

Fora Health Inc. is located at 10230 SE Cherry Blossom Dr, Portland, OR 97216. The listed phone number is (503) 535-1150.

What is Fora Health Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Fora Health Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2203250) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fora Health Inc. was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.