Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDOLPH WILLIAM G. FORD, DVM
ActiveVeterinarian · GRESHAM, OR
Registration Details
- NPI Number
- 1346504602
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 1, 2012 (13.86946771241 yrs)
- Last Updated
- Jul 1, 2012
- License
-
4500 (OR)
Practice Information
- Address
-
21920 SE STARK STGRESHAM, OR, 970302034Browse OR providers · Browse ZIP 97030
- Phone
- 5036651109
- Fax
- 5036663664
- Primary Specialty
-
Veterinarian
174M00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.