Individual
SAMANTHA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
304 W BAY DR NW STE 301, OLYMPIA, WA 98502-4957
(360) 413-8670
(360) 413-8839
Mailing address
304 W BAY DR NW STE 301, OLYMPIA, WA 98502-4957
(360) 413-8670
(360) 413-8839
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60520512
WA
Other
Enumeration date
12/09/2014
Last updated
02/21/2019
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