IndividualActive
Andrew Ford
NPI 1679256994 · Emotionally Disturbed Childrens' Residential Treatment Facility · Beaverton, OR
Provider details
- NPI number
- 1679256994
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Male
- Sole proprietor
- Yes
Practice location
16535 Sw Tualatin Valley Hwy
Beaverton, OR 97003-5143
Phone: (503) 259-3142
Mailing address
16535 Sw Tualatin Valley Hwy
Beaverton, OR 97003-5143
Registry dates
- Enumerated
- 2023-08-11
- Last updated
- 2023-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.