Individual
CARLY FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18101 SW BOONES FERRY RD STE 250, PORTLAND, OR 97224-7655
(541) 441-3582
Mailing address
6900 NE 154TH AVE # A10, VANCOUVER, WA 98682-5053
(360) 936-2528
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
374J00000X
Doula
—
—
Other
Enumeration date
03/09/2021
Last updated
08/23/2025
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