Individual
HEIDI URSULA MCELHANEY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(971) 229-6990
Mailing address
1700 NE 102ND AVE, PORTLAND, OR 97220-3804
(971) 229-6990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11828
HI
207Q00000X
Family Medicine Physician
MD23082
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53206104
—
HI
Enumeration date
02/13/2006
Last updated
10/19/2020
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