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Contact Information

ALICIA FORD, RD, LD, CDE
700 NE 87TH AVE STE 280
VANCOUVER, WA98664
 Phone: 360-882-2778
 Fax: 360-604-1785
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Dietetic Technician, Registered

136A00000X
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ALICIA FORD · (Female)

NPI Number 1528454105
Status Active
Credentials RD, LD, CDE
Entity Individual
Enumeration date 04/10/2015
Last updated 03/13/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OR License # LD-D-000980
  • WA License # DI60925857
  • WA Medicaid 2044150
Hospital affiliation(s) Not Available
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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