Individual
JAMES THOMPSON FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 N PROVIDENCE DR STE 210, NEWBERG, OR 97132-7582
(503) 537-5900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
310
AK
363A00000X
Physician Assistant
Primary
PA01090
OR
Other
Enumeration date
06/28/2007
Last updated
11/29/2021
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