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1770899056
DAREN KEVIN FORD
PORTLAND, OR
NPI
1770899056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2010-08-25
Last Update Date
2010-08-25
Business Address
-- DAREN KEVIN FORD MSW, CSWA, CADCII
1631 SW COLUMBIA ST
PORTLAND, OR 97201-6025
Phone number: 503-231-2641
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Mailing Address
-- DAREN KEVIN FORD MSW, CSWA, CADCII
1631 SW COLUMBIA ST
PORTLAND, OR 97201-6025
Phone number:
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