Individual
DR. KEVIN JAMES FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10535 NE GLISAN ST, SUITE 301, PORTLAND, OR 97220-4077
(503) 444-2824
Mailing address
14201 NE 20TH AVE STE 2204, VANCOUVER, WA 98686-6413
(360) 975-7641
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9791
OR
Other
Enumeration date
10/09/2012
Last updated
01/22/2015
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