Individual
FRANK C FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3803 VISTA COURT, NORTH BEND, OR 97459-2465
(541) 756-7453
(541) 808-0395
Mailing address
3803 VISTA CT, NORTH BEND, OR 97459-2465
(541) 756-7453
(541) 756-3185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1518
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083942000
REGENCE BCBS
OR
Enumeration date
04/22/2007
Last updated
01/31/2018
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