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1013026723
SANDRA M FORD
PORTLAND, OR
NPI
1013026723
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR ORPA238)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
Ms. SANDRA M FORD PA-C
5432 N ALBINA AVE
PORTLAND, OR 97217-2304
Phone number: 503-283-3763
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Mailing Address
Ms. SANDRA M FORD PA-C
5432 N ALBINA AVE
PORTLAND, OR 97217-2304
Phone number: 503-283-3763
Copy
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