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Individual

DAVID CHRISTAIN FORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 296-7235
Mailing address
923 E 18TH ST, THE DALLES, OR 97058-2831
(503) 673-9302

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD25653
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1121953
WA
05
213459
OR
Enumeration date
01/19/2006
Last updated
06/04/2019
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