DESIREE ALECE FORD

PORTLAND, OR
NPI1750056560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-08-13
Last Update Date2021-08-13
Business Address
DESIREE ALECE FORD
5725 NE PRESCOTT ST
PORTLAND, OR 97218-2275
Phone number: 503-402-8101
Mailing Address
DESIREE ALECE FORD
5725 NE PRESCOTT ST
PORTLAND, OR 97218-2275
Phone number: 503-402-8101
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