| Donald Ford, Ma, Lpc, Lmft | |
|
10490 Sw Eastridge St Portland OR 97225-5030 | |
| (503) 297-2413 | |
| Not Available |
| Full Name | Donald Ford, Ma, Lpc, Lmft |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10490 Sw Eastridge St, Portland, Oregon |
| Authorized Official Name and Position | Donald Ford (MEMBER) |
| Authorized Official Contact | 5032972413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald Ford, Ma, Lpc, Lmft 10490 S.w. Eastridge St., Portland OR 97225 Ph: (503) 297-2413 | Donald Ford, Ma, Lpc, Lmft 10490 Sw Eastridge St Portland OR 97225-5030 Ph: (503) 297-2413 |
| NPI Number | 1427373406 |
|---|---|
| Provider Enumeration Date | 04/01/2010 |
| Last Update Date | 04/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427373406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CO402 (Oregon) | Primary |
| 106H00000X | Marriage & Family Therapist | TO246 (Oregon) | Secondary |
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