Individual
DR. R. CRAIG FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
1600 VALLEY RIVER DR STE 395, EUGENE, OR 97401-2129
(541) 689-2107
(541) 689-2107
Mailing address
1600 VALLEY RIVER DR, STE 395, EUGENE, OR 97401-2132
(541) 689-2107
(541) 743-4179
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
20567
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139532
MEDICARE PTAN
OR
Enumeration date
02/23/2006
Last updated
10/12/2017
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