CAROL FORD, CCST
Contractor
Active
Individual
NPI: 1336416809
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | CCST (WA) |
Frequently Asked Questions
NPI 1336416809 is the National Provider Identifier for CAROL FORD, CCST, a Contractor provider located in Portland, OR. This NPI was enumerated on November 28, 2011.
CAROL FORD, CCST practices at 10490 SW EASTRIDGE ST, Portland, OR 97225.
Quick Facts
- NPI
- 1336416809
- Type
- Individual
- Enumerated
- Nov 28, 2011
- Last Updated
- Nov 28, 2011
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