Individual
IAN LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1001 PROVIDENCE DR, NEWBERG, OR 97132-7485
(503) 537-5607
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO189696
OR
207R00000X
Internal Medicine Physician
PG177481
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5007495960
—
OR
Enumeration date
09/01/2015
Last updated
03/19/2021
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