Individual
JESSICA FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3652 SE STARK ST APT 9, PORTLAND, OR 97214-3161
(734) 478-8346
Mailing address
3652 SE STARK ST APT 9, PORTLAND, OR 97214-3161
(734) 478-8346
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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