Healthcare Provider Details

I. General information

NPI: 1013821081
Provider Name (Legal Business Name): ASHLEY FORSMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12155 SW TOOZE RD
SHERWOOD OR
97140-8441
US

IV. Provider business mailing address

11720 SW WILLET TER
BEAVERTON OR
97007-6494
US

V. Phone/Fax

Practice location:
  • Phone: 503-570-0147
  • Fax:
Mailing address:
  • Phone: 503-724-7628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberABA-IN-10270593
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: