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Desiree Alece Ford
Mental Health Counselor in Portland, Oregon
NPI 1750056560

Desiree Alece Ford is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Desiree Alece Ford practices in Portland, OR. The NPI Number for Desiree Alece Ford is 1750056560 and holds a License No. (Oregon).

The current practice location address for Desiree Alece Ford is 5725 Ne Prescott St, Portland, OR and can be reached out via phone at 503-402-8101.

Location: 5725 Ne Prescott St, Portland, OR, 97218-2275
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Provider Profile Details
NPI Number
1750056560
Provider Name
Desiree Alece Ford
Credential
Provider Entity Type
Individual
Gender
Female
Address
5725 Ne Prescott St, Portland, OR, 97218-2275
Phone Number
503-402-8101
Fax Number
Provider Enumeration Date
08/13/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
226398 05 OR
institution
Provider Business Practice Location Address Details
Address
5725 Ne Prescott St
City
State
Zip
97218-2275
Phone Number
503-402-8101
Fax Number
person
Provider Business Mailing Address Details
Address
5725 Ne Prescott St
City
State
Zip
97218-2275
Phone Number
503-402-8101
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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