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1568918621
KELLY FORD
HILLSBORO, OR
NPI
1568918621
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-08-29
Last Update Date
2016-08-29
Business Address
-- KELLY FORD
720 SE WASHINGTON ST
HILLSBORO, OR 97123-4230
Phone number: 503-648-0753
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Mailing Address
-- KELLY FORD
1027 E BURNSIDE STREET
PORTLAND, OR 97216
Phone number: 503-239-8400
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