Individual
AMY NGUYEN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 S 11TH AVE STE 320, YAKIMA, WA 98902-3273
(509) 454-8888
(509) 453-0061
Mailing address
PO BOX 2309, YAKIMA, WA 98907-2309
(509) 454-8888
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01084429A
IN
207X00000X
Orthopaedic Surgery Physician
125067599
IL
207XX0801X
Orthopaedic Trauma Physician
CV2002656
IN
207XX0801X
Orthopaedic Trauma Physician
Primary
MD61186395
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2186376
—
WA
01
—
MD61186395
WASHINGTON STATE DEPT OF HEALTH MD LICENSE
WA
Enumeration date
03/22/2015
Last updated
02/02/2023
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