Forbis, Malia-Rose Nicole

Forbis, Malia-Rose Nicole is an sole proprietor health care provider with primary practice located at 3878 Beverly Ave Ne Bldg H , Salem OR 97305-1394. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Forbis, Malia-Rose Nicole can be contacted via phone (503) 576-4584.

Contact Information

Primary practice address
3878 Beverly Ave Ne Bldg H Salem OR 97305-1394
Phone: (503) 576-4584
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X A4730 Oregon
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1124376298
LBN Legal business name Forbis, Malia-Rose Nicole
Credentials PEER SUPPORT SPEC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2012
Last updated Mar 21st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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