| Dr Charles R Ford, MD | |
|
1815 E 19th St, Suite 1, The Dalles, OR 97058-3385 | |
| (541) 298-5563 | |
| (541) 298-7746 |
| Full Name | Dr Charles R Ford |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 1815 E 19th St, The Dalles, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871693283 | NPI | - | NPPES |
| 064899 | Medicaid | OR | |
| 1313907 | Other | WA | MEDICAID |
| P00139667 | Other | RAILROAD MEDICARE | |
| 831523001 | Other | OR | REGENCE BLUE CROSS OF OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | MD10654 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles R Ford, MD 1815 E 19th St, Suite 1, The Dalles, OR 97058-3385 Ph: (541) 298-5563 | Dr Charles R Ford, MD 1815 E 19th St, Suite 1, The Dalles, OR 97058-3385 Ph: (541) 298-5563 |
Matthew David Proctor, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1815 E 19th St, Ste 1, The Dalles, OR 97058 Phone: 541-298-5563 Fax: 541-298-7746 |