Individual
MELONIE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
906 MAIN AVE, TILLAMOOK, OR 97141-3816
(503) 842-8201
(503) 815-1870
Mailing address
906 MAIN AVE, TILLAMOOK, OR 97141-3816
(503) 842-8201
(503) 815-1870
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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