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General NPI Number Information
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NPI Number | 1558956789
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Entity Type | Individual
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Provider Name | CARLY FORD
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Gender | Female
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 18101 SW BOONES FERRY RD STE 250
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City | PORTLAND
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State | OR
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Zip | 97224-7655
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Country | US
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Telephone | 541-441-3582
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Fax |
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Provider Business Mailing Address
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Address Line | 6900 NE 154TH AVE # A10
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City | VANCOUVER
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State | WA
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Zip | 98682-5053
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Country | US
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Telephone | 360-936-2528
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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