KELLY FORD (NPI# 1568918621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568918621 |
| Entity Type | Individual |
| Full Name | KELLY FORD |
| Practice Address |
720 Se Washington St Hillsboro OR 97123-4230 |
| Mailing Address |
1027 E Burnside Street Portland OR 97216 |
| Practice Telephone | 5036480753 |
| Practice Fax Number | 5036480755 |
| Mailing Telephone | 5032398400 |
| Mailing Fax Number | 5032398406 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598388522 | Kelly E Ford | Registered Nurse | 382 Hillsdale Cir, Wadsworth, OH 44281-1008 | 2020-05-26 |
| 1861753576 | Kelly Nicole Ford | Social Worker | 5157 Business 220, Bedford, PA 15522 | 2012-05-30 |
| 1093948622 | Kelly Ford | Specialist/Technologist, Other | 2200 E Parrish Ave., Bldg B, Ste 203, Owensboro, KY 42303 | 2009-08-31 |
| 1891342523 | Kelly Ford | Behavior Technician | 109 Oak St Ste 103, Newton, MA 02464-1493 | 2019-08-19 |
| 1407325426 | Kelly Nicole Ford | Physical Therapy Assistant | 1893 Ne Miami Gardens Dr, Miami, FL 33179-5035 | 2018-11-20 |
| 1013378363 | Kelly Ford | Counselor | 4923 Main St, Downers Grove, IL 60515-3654 | 2016-03-15 |
| 1205268604 | Kelly T Ford | Social Worker | 5 Linsley St, North Haven, CT 06473-2518 | 2013-08-07 |
| 1760826788 | Kelly Ford | Radiology | 7695 Poplar Pike Ste 101, Germantown, TN 38138-5947 | 2013-04-21 |
| 1851669196 | Kelly Ann Ford | Physical Therapist | 300 Wyoming Ave, Wyoming, PA 18644-1695 | 2011-12-01 |
| 1083842462 | Kelly Ford | Counselor | 4550 E Bell Rd, 147, Phoenix, AZ 85032-9306 | 2009-06-24 |
| Street Address |
720 SE WASHINGTON ST |
| City | HILLSBORO |
| State | OR |
| Zip Code | 97123-4230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225072895 | Danielle Berner | Social Worker | 720 Se Washington St, Hillsboro, OR 97123 | 2006-06-15 |
| 1881294122 | Stacie Villegas | Counselor | 720 Se Washington St, Hillsboro, OR 97123-4230 | 2020-10-27 |
| 1508482373 | Leslie Jackelen Zimmerman | Counselor | 720 Se Washington St, Hillsboro, OR 97123-4230 | 2020-06-17 |
| 1841849700 | Collette Cavitt | Counselor | 720 Se Washington St, Hillsboro, OR 97123-4230 | 2019-09-04 |
| 1568016871 | Ellamae Ann Smith | Peer Specialist | 720 Se Washington St, Hillsboro, OR 97123-4230 | 2019-07-25 |
| 1609437722 | Alexis Kathryn Mcculley | Counselor | 720 Se Washington St, Hillsboro, OR 97123-4230 | 2019-06-28 |
| 1417518978 | Kate Turner | Counselor | 720 Se Washington St, Hillsboro, OR 97123-4230 | 2019-06-25 |
| 1114482312 | Maeve Marie Swakhammer | Counselor | 720 Se Washington St, Hillsboro, OR 97123-4230 | 2019-02-01 |
| 1467932822 | Danielle Anne Wiens | Counselor | 720 Se Washington St, Hillsboro, OR 97123-4230 | 2018-08-15 |
| 1659863215 | Dorothy R De La Rosa | Counselor | 720 Se Washington St, Hillsboro, OR 97123-4230 | 2018-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916241 | Gabriel Lawrence | Physical Therapist | 2973 Se 79th Ave., Hillsboro, OR 97123 | 2020-06-11 |
| 1487278453 | Jordan Gregory Evans | Student in an Organized Health Care Education/Training Program | Creighton Hall 222 Se 8th Ave, Hillsboro, OR 97123 | 2020-06-04 |
| 1124641006 | Jessica Anne Bramlett | Student in an Organized Health Care Education/Training Program | 228 Southeast 8th Avenue, Suite 536, Hillsboro, OR 97123 | 2020-05-26 |
| 1003448168 | Madelyn Vogt | Community Health Worker | 862 Se Oak Street, Suite 2a, Hillsboro, OR 97123 | 2020-02-06 |
| 1215435789 | Renise Harrel | Massage Therapist | 4855 Se Tv Hwy, Suite B, Hillsboro, OR 97123 | 2018-01-30 |
| 1497260269 | Amy Hodges | Counselor | 222 Se 8th Ave # 212, Hillsboro, OR 97123 | 2017-12-02 |
| 1033623723 | Tamira L Heyob | Doula | 25600 Sw Bald Peak Rd., Hillsboro, OR 97123 | 2017-11-17 |
| 1134644024 | Tara Kyoko Taylor | Massage Therapist | 5289 Ne Elam Young Pkwy #130, Hillsboro, OR 97123 | 2017-08-11 |
| 1023543055 | Austin Simpson | Counselor | 222 Se 8th, Suite 222, Hillsboro, OR 97123 | 2017-04-27 |
| 1124569769 | Emergency Tooth Doctor Hillsboro, Prof. Corp. | Dentist | 752 Se Oak St, Hillsboro, OR 97123 | 2017-03-15 |
| Find all providers in zip 97123 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603335 | Benetta Vincent | Counselor | 3194 Se Tumblestone Dr, Hillsboro, OR 97123-7966 | 2020-06-09 |
| 1972149243 | Jason Grove | Counselor | 466 S Elm St, Hillsboro, OH 45133-1360 | 2019-11-21 |
| 1932740545 | Chelsea Marie Traylor | Counselor | 231 E South St Apt A, Hillsboro, OH 45133-1629 | 2019-10-04 |
| 1114572831 | Dustin James Davis | Counselor | 4660 Ne Belknap Ct Ste 101h, Hillsboro, OR 97124-8403 | 2019-08-08 |
| 1407390966 | Bernadette Ramirez | Counselor | 1049 Sw Baseline St Ste D480, Hillsboro, OR 97123-3863 | 2016-12-16 |
| 1184172702 | Malcolm Ross Patton | Counselor | 1500 Ne Arrowwood St, Hillsboro, OR 97124-2624 | 2016-09-12 |
| 1053782938 | Charles Henry Reynolds Sr. | Counselor | 504 Ne 18th Ave, Hillsboro, OR 97124-3508 | 2015-10-16 |
| 1649673914 | Rick Johnson | Counselor | 5350 Ne Elam Young Pkwy, Hillsboro, OR 97124-6401 | 2014-10-01 |
| 1134487762 | Quentin Vivian Thomas | Counselor | 3797 Nw 4th Ave, Hillsboro, OR 97124-1610 | 2012-05-02 |
| 1609169655 | Cherry S. Hill | Counselor | 2289 Se 56th Pl, Hillsboro, OR 97123-8111 | 2011-05-24 |
| Find all providers in HILLSBORO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.