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General NPI Number Information
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NPI Number | 1710177084
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Entity Type | Individual
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Provider Name | GREGORY SCOTT FORD D.O.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 10123 SE MARKET ST
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City | PORTLAND
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State | OR
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Zip | 97216-2532
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Country | US
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Telephone | 503-257-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 10123 SE MARKET ST
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City | PORTLAND
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State | OR
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Zip | 97216-2532
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Country | US
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Telephone | 503-257-2500
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS 9926
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DO193138
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License Number State | OR
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