Forsyth, Robert James

Forsyth, Robert James is an sole proprietor health care provider with primary practice located at 3425 13Th St , Baker City OR 97814-1340. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Peer Specialist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Forsyth, Robert James can be contacted via phone (541) 523-7400.

Contact Information

Primary practice address
3425 13Th St Baker City OR 97814-1340
Phone: (541) 523-7400
Fax: (541) 523-4927
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X G 10- P-01 Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X 21-QMHA-I-003223 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10-09-71 Oregon
Other Service Providers / Peer Specialist 175T00000X 21-CRM-714 Oregon

Profile Details

NPI number 1609234632
LBN Legal business name Forsyth, Robert James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2016
Last updated Jun 30th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1609234632 NPPES
Oregon Other 4861702 DRIVERS LICENSE
Oregon MEDICAID 500701049 DRIVERS LICENSE

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