Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carol Ford, CCST

Individual provider Contractor · NPI 1336416809

Carol Ford, CCST is a Contractor in Portland, Oregon. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2011
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Practice location Address checks out

10490 SW Eastridge St
Portland, OR 97225-5030
Phone: (503) 608-2372
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence CCST (WA)

Record details

NPI number1336416809
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCST
Sole proprietorYes
NPI enumeratedNovember 28, 2011
Last updated in NPPESNovember 28, 2011
Mailing address10490 Sw Eastridge St, Suite #130, Portland, OR 97225-5030

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