SEKOU C FORD

PROVIDENCE HEALTH AND SERVICES OREGON

Dr SEKOU C FORD is a male medical professional, specializing in Family Medicine. He graduated in 2000 from Stanford University School Of Medicine.

Contact

PROVIDENCE HEALTH AND SERVICES OREGON

200 S HAZEL DELL WAY
PROV MED GR CA IM CR
CANBY
OR
970137829

Tel: 2032639500

SEKOU C FORD Information

Npi 1538138276
Pac Id 3476700956
Professional Enrollment Id I20120906000419
Last Name FORD
First Name SEKOU
Middle Name C
Suffix
Gender M
Credential
Medical School Name STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2000
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1 SPORTS MEDICINE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties SPORTS MEDICINE
Organization Legal Name PROVIDENCE HEALTH AND SERVICES OREGON
Group Practice Pac Id 0648183608
Number Of Group Practice Members 1139
Line 1 Street Address 200 S HAZEL DELL WAY
Line 2 Street Address PROV MED GR CA IM CR
Marker Of Address Line 2 Suppression
City CANBY
State OR
Zip Code 970137829
Phone Number 2032639500
Hospital Affiliation Ccn 1 380004
Hospital Affiliation Lbn 1 PROVIDENCE ST VINCENT MEDICAL CENTER
Hospital Affiliation Ccn 2 380061
Hospital Affiliation Lbn 2 PROVIDENCE PORTLAND MEDICAL CENTER
Hospital Affiliation Ccn 3 380038
Hospital Affiliation Lbn 3 PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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