KELLY FORD

HILLSBORO, OR
NPI1568918621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-08-29
Last Update Date2016-08-29
Business Address
-- KELLY FORD
720 SE WASHINGTON ST
HILLSBORO, OR 97123-4230
Phone number: 503-648-0753
Mailing Address
-- KELLY FORD
1027 E BURNSIDE STREET
PORTLAND, OR 97216
Phone number: 503-239-8400
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