Individual
PATRICIA ANN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
421 SW OAK ST STE 520, PORTLAND, OR 97204-1810
(503) 988-5464
Mailing address
421 SW OAK ST STE 520, PORTLAND, OR 97204-1810
(503) 988-5464
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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