Individual
DONALD FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., LPC, LMFT
Contact information
Practice address
10490 SW EASTRIDGE ST, SUITE 130, PORTLAND, OR 97225-5030
(503) 297-2413
Mailing address
10490 SW EASTRIDGE ST, SUITE 130, PORTLAND, OR 97225-5030
(503) 297-2413
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
OR CO402
OR
106H00000X
Marriage & Family Therapist
OR TO246
OR
Other
Enumeration date
08/31/2006
Last updated
12/30/2009
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