Individual
REBECCA L FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6051
(541) 382-2811
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
03952
KY
207Q00000X
Family Medicine Physician
Primary
DO185160
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500740719
—
OR
05
—
7100399630
—
KY
01
—
DO185160
LICENSE
OR
01
—
R208470
MEDICARE
OR
Enumeration date
07/01/2009
Last updated
03/09/2021
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