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1679256994
ANDREW JOHNATHAN FORD
BEAVERTON, OR
NPI
1679256994
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
322D00000X Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
2023-08-11
Last Update Date
2023-08-11
Business Address
ANDREW JOHNATHAN FORD
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003-5143
Phone number: 503-259-3142
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Mailing Address
ANDREW JOHNATHAN FORD
16535 SW TUALATIN VALLEY HWY
BEAVERTON, OR 97003-5143
Phone number: 503-259-3142
Copy
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