Organization
HOUSECALL MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA FERGUSON NP (OWNER)
(503) 358-7908
Entity
Organization
Contact information
Practice address
49 LADD ST, LAKE OSWEGO, OR 97034-3853
(503) 358-7908
(503) 345-9867
Mailing address
49 LADD ST, LAKE OSWEGO, OR 97034-3853
(503) 358-7908
(503) 345-9867
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
200650008NP
OR
363LF0000X
Family Nurse Practitioner
200650008NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093053431
NPI
OR
05
—
243056
—
OR
05
—
500678021
—
OR
Enumeration date
01/18/2013
Last updated
05/23/2015
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