Provider Demographics
NPI:1821879339
Name:FORRESTER, FRANCESCA PIERCE
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:PIERCE
Last Name:FORRESTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRANKIE
Other - Middle Name:PIERCE
Other - Last Name:FORRESTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3301 SE 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-2858
Mailing Address - Country:US
Mailing Address - Phone:503-800-1290
Mailing Address - Fax:
Practice Address - Street 1:3301 SE 16TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-2858
Practice Address - Country:US
Practice Address - Phone:503-800-1290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR8645101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor