Individual
DR. FERGUS COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OHSU, PORTLAND, OR 97239-3011
(503) 494-2333
(503) 494-4982
Mailing address
3181 SW SAM JACKSON PARK RD, OHSU, PORTLAND, OR 97239-3011
(503) 494-2333
(503) 494-4982
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
MD158521
OR
2085R0202X
Diagnostic Radiology Physician
MD158521
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A695760
—
CA
Enumeration date
04/14/2006
Last updated
01/10/2013
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