Individual
DAREN KEVIN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, CSWA, CADCII
Contact information
Practice address
1631 SW COLUMBIA ST, PORTLAND, OR 97201-6025
(503) 231-2641
Mailing address
1631 SW COLUMBIA ST, PORTLAND, OR 97201-6025
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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