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Individual

JEFFREY FORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1662 NW 23RD AVE, PORTLAND, OR 97210-2502
(844) 966-6777
Mailing address
1718 NE 11TH AVE APT 205, PORTLAND, OR 97212-4072

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
62040
OR

Other

Enumeration date
03/07/2017
Last updated
03/07/2017
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