RANDOLPH WILLIAM G. FORD DVM
NPI 1346504602
Veterinarian in Gresham, OR

Q: What is Randolph Ford's NPI number?

The NPI number for Randolph Ford is 1346504602. It was assigned to this individual provider in the NPPES registry on July 1, 2012.

Q: What is Randolph Ford's specialty?

The primary specialty registered for this NPI is Veterinarian with taxonomy code 174M00000X.

Q: When was this NPI record last updated?

The NPPES record for Randolph Ford was last updated on July 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 01, 2012

21920 SE STARK ST, GRESHAM, OR 97030(503) 665-1109(503) 666-3664 Get Directions Write a Review

NPPES record last updated: July 1, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Randolph William G. Ford Dvm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDOLPH WILLIAM G. FORD DVM (NPI 1346504602) is an individual veterinarian provider in Gresham, Oregon, licensed in Oregon (4500) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1346504602

Entity TypeIndividualMale

Primary Taxonomy174M00000X

Provider Legal NameRANDOLPH WILLIAM G. FORDCredential: DVM

Location Address21920 SE STARK STGresham, OR 97030-2034

Mailing Address21920 Se Stark StGresham, OR 97030-2034 · (503) 665-1109 · Fax (503) 666-3664

Phone(503) 665-1109

Fax(503) 666-3664

Sole ProprietorNo

Enumeration DateJuly 1, 2012

✔ NPI 1346504602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyVeterinarianOther Service Providers

Taxonomy Code174M00000X

License✔ Licensed in OR · 4500

Definition

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

21920 SE STARK ST, Gresham, OR 97030

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Ford's NPI number?

The NPI number for Randolph Ford is 1346504602. It was assigned to this individual provider in the NPPES registry on July 1, 2012.

Where is Randolph Ford located?

Randolph Ford practices at 21920 SE Stark St, Gresham, OR 97030. The listed phone number is (503) 665-1109.

What is Randolph Ford's specialty?

The primary specialty registered for this NPI is Veterinarian with taxonomy code 174M00000X.

When was this NPI record last updated?

The NPPES record for Randolph Ford was last updated on July 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.