Ford, John Michael

Ford, John Michael is an individual health care provider with primary practice located at 1 Serenity Ln , Coburg OR 97408-9350. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Ford, John Michael can be contacted via phone (541) 687-1110.

Contact Information

Primary practice address
1 Serenity Ln Coburg OR 97408-9350
Phone: (541) 687-1110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 15-05-09 Oregon

Profile Details

NPI number 1346893294
LBN Legal business name Ford, John Michael
Credentials QMHA, CADC1
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2019
Last updated Dec 12th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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