Individual
DR. JEFFREY EDWARD FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 418-6001
(360) 571-3108
Mailing address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 481-6001
(360) 571-3108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00032604
WA
207Q00000X
Family Medicine Physician
MD18943
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8161945
—
WA
Enumeration date
10/05/2006
Last updated
07/17/2007
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