Individual
HOWARD KEITH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 571-3009
Mailing address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 571-3009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00324
OR
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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