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NPI Code Detail

MEDICARE: DR. R. CRAIG FORD AU.D.

MEDICARE:  DR. R. CRAIG FORD  AU.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist20567OR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1139532OTHERORMEDICARE PTAN

General Provider Information

NPI Number : 1518933381
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. R. CRAIG FORD AU.D.
Provider Business Mailing Address
First Line : 1600 VALLEY RIVER DR
Second Line : STE 395
City : EUGENE
State : OR
Zip : 97401-2132
Country : US
Telephone Number : 541-689-2107
Fax Number : 541-743-4179
Provider Business Practice Location Address
First Line : 1600 VALLEY RIVER DR STE 395
Second Line :
City : EUGENE
State : OR
Zip : 97401-2129
Country : US
Telephone Number : 541-689-2107
Fax Number : 541-689-2107
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 10/12/2017

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Directions to “ DR. R. CRAIG FORD AU.D.” Practice Location

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