Ford, Alicia

Ford, Alicia is an individual health care provider with primary practice located at 700 Ne 87Th Ave Ste 280 , Vancouver WA 98664. She recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Dietetic Technician, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Ford, Alicia can be contacted via phone (360) 882-2778.

Contact Information

Primary practice address
700 Ne 87Th Ave Ste 280 Vancouver WA 98664
Phone: (360) 882-2778
Fax: (360) 604-1785
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X LD-D-000980 Oregon
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X LD-D-000980 Oregon
Dietary & Nutritional Service Providers / Dietetic Technician, Registered 136A00000X DI60925857 Washington
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI60925857 Washington

Profile Details

NPI number 1528454105
LBN Legal business name Ford, Alicia
Credentials RD, LD, CDE
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2015
Last updated Mar 13th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528454105 NPPES
Washington MEDICAID 2044150

Popular Providers