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1174148969
MARTINA D FORD
TIGARD, OR
NPI
1174148969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR F06191072)
Enumeration Date
2020-06-08
Last Update Date
2020-06-08
Business Address
MARTINA D FORD APRN
9370 SW GREENBURG RD STE 200
TIGARD, OR 97223-5421
Phone number: 877-448-3627
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Mailing Address
MARTINA D FORD APRN
901 MCCLINTOCK DR STE 202
BURR RIDGE, IL 60527-0872
Phone number: 630-655-6748
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