NPI 1346504602

Randolph William G. Ford, DVM

Practitioner Veterinarian Gresham, OR

Practice location

Address: 21920 SE Stark St, Gresham, OR 97030-2034
Phone: (503) 665-1109
Fax: (503) 666-3664

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 4500 (OR)

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Registry record

NPI: 1346504602
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jul 2012
Record last updated: 1 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.