Individual
JANINE FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9700 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3306
(503) 626-9494
(503) 646-5671
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 233-5405
(503) 233-2692
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-06-24
OR
Other
Enumeration date
08/04/2009
Last updated
12/16/2011
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