Individual
RYAN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
330 NE MARSHALL AVE, BEND, OR 97701-4346
(541) 383-8179
Mailing address
61957 JANALEE PL, BEND, OR 97702-2494
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64352
OR
Other
Enumeration date
01/08/2022
Last updated
01/08/2022
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