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Individual

DR. THEODORE ROWE FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2542 NE COURTNEY DR STE 200G, BEND, OR 97701-7684
(541) 647-1645
(541) 647-1648
Mailing address
2542 NE COURTNEY DR STE 200G, BEND, OR 97701-7684
(541) 647-1645
(541) 647-1648

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD19247
OR
208VP0014X
Interventional Pain Medicine Physician
Primary
MD19247
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
072004
OR
Enumeration date
08/19/2006
Last updated
12/08/2025
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