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Contact Information

THEODORE R FORD, MD
2542 NE COURTNEY DR STE 200G
BEND, OR97701-7684
 Phone: 541-647-1645
 Fax: 541-647-1648
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for THEODORE R FORD · (Male)

NPI # 1205940830
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2006
Last updated 12/08/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD19247
  • OR Medicaid 072004
Hospital affiliation(s)
  • ST CHARLES MEDICAL CENTER - BEND - (Acute Care)
    2500 NE NEFF ROAD
    BEND, OR 97701
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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