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Individual

DR. ROBERT ORLAND FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2517 NE KRESKY AVE, CHEHALIS, WA 98532-2409
(360) 748-8632
(360) 748-3869
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD00017790
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1005298
WA
05
1295842524
ID
05
1295842524
MT
05
1597601
AK
01
180010033
RAIL ROAD MEDICARE
ID
01
180012488
RAIL ROAD MEDICARE
WA
01
180012493
RAIL ROAD MEDICARE
WA
01
180040079
RAIL ROAD MEDICARE
AK
01
180040084
RAIL ROAD MEDICARE
WA
01
180044161
RAIL ROAD MEDICARE
MT
05
25576356
NM
Enumeration date
08/24/2006
Last updated
11/18/2020
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