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1336416809
CAROL FORD
PORTLAND, OR
NPI
1336416809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
(Licence: WA CCST)
Enumeration Date
2011-11-28
Last Update Date
2011-11-28
Business Address
-- CAROL FORD CCST
10490 SW EASTRIDGE ST
PORTLAND, OR 97225-5030
Phone number: 503-608-2372
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Mailing Address
-- CAROL FORD CCST
10490 SW EASTRIDGE ST SUITE #130
PORTLAND, OR 97225-5030
Phone number: 503-608-2372
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