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NPI 1336416809

IndividualActive

Carol Ford, CCST

NPI 1336416809 · Contractor · Portland, OR

Provider details

NPI number: 1336416809
Entity type: Individual
Primary specialty: ContractorOther Service Providers
Credential: CCST
Sex: Female
Sole proprietor: Yes
License: CCST (WA)

Practice location

10490 Sw Eastridge St

Portland, OR 97225-5030

Phone: (503) 608-2372

More OR providers

Mailing address

10490 Sw Eastridge St

Portland, OR 97225-5030

Registry dates

Enumerated: 2011-11-28
Last updated: 2011-11-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Carol Ford, CCST — NPI 1336416809, Portland, OR | NPI Central