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Organization
CORPORATE HEALTH NW
Active
Organization
CORPORATE HEALTH NW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA FORD ANP (PRESIDENT)
(503) 256-5715
Entity
Organization
Contact information
Practice address
10209 SE DIVISION ST, PORTLAND, OR 97266-1327
(503) 256-5715
(503) 257-2540
Mailing address
10209 SE DIVISION ST, PORTLAND, OR 97266-1327
(503) 256-5715
(503) 257-2540
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
088000392N3
OR
Other
Enumeration date
03/05/2007
Last updated
08/22/2020
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