Individual provider · Type 1 NPI

Randolph William G. Ford, DVM

Veterinarian · Gresham, OR

NPI number 1346504602 Active

Practice location

21920 SE Stark St
Gresham, OR 97030-2034

Fax (503) 666-3664

Specialties and licenses

TaxonomyCodeLicense
Veterinarian Primary 174M00000X4500 (OR)

Veterinarian: A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.

About NPI 1346504602

Randolph William G. Ford, DVM's National Provider Identifier is 1346504602, issued on Jul 1, 2012. The primary taxonomy on file is Veterinarian (174M00000X), and the practice location is in Gresham, OR. The record was last updated on Jul 1, 2012.