Ford, Randolph William G.

Ford, Randolph William G. is an individual health care provider with primary practice located at 21920 Se Stark St , Gresham OR 97030-2034. He recently has only one registered license in Other Service Providers / Veterinarian, which is considered as his primary health care specialty. Ford, Randolph William G. can be contacted via phone (503) 665-1109.

Contact Information

Primary practice address
21920 Se Stark St Gresham OR 97030-2034
Phone: (503) 665-1109
Fax: (503) 666-3664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Veterinarian 174M00000X 4500 Oregon

Profile Details

NPI number 1346504602
LBN Legal business name Ford, Randolph William G.
Credentials Doctor of Veterinary Medicine (DVM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2012
Last updated Jul 1st, 2012 - about 12 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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