Ford, Katie

Ford, Katie is an individual health care provider with primary practice located at 143 Sw Shevlin Hixon Drive , Bend OR 97702. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Ford, Katie can be contacted via phone (661) 426-4213.

Contact Information

Primary practice address
143 Sw Shevlin Hixon Drive Bend OR 97702
Phone: (661) 426-4213
Fax: (661) 852-2777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C2149 Oregon
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC35625 California

Profile Details

NPI number 1205035235
LBN Legal business name Ford, Katie
Credentials MFT,LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2007
Last updated Dec 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205035235 NPPES
Oregon MEDICAID 500737088

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