Individual
MRS. JALEEN LYNN FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
12725 SW MILLIKAN WAY STE 300, BEAVERTON, OR 97005-1687
(971) 998-9747
(503) 747-0634
Mailing address
12725 SW MILLIKAN WAY STE 300, BEAVERTON, OR 97005-1687
(971) 998-9747
(503) 747-0634
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
131489
NC
363LF0000X
Family Nurse Practitioner
201407547NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
290613
AZ
363LP2300X
Primary Care Nurse Practitioner
201407547NP-PP
OR
Other
Enumeration date
10/19/2012
Last updated
06/16/2023
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