Individual
MS. SANDRA M FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5432 N ALBINA AVE, PORTLAND, OR 97217-2304
(503) 283-3763
(503) 247-1266
Mailing address
5432 N ALBINA AVE, PORTLAND, OR 97217-2304
(503) 283-3763
(503) 247-1266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
ORPA238
OR
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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