Individual
DR. IAN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15906 MILL CREEK BLVD STE 105, MILL CREEK, WA 98012-1797
(425) 385-2009
(425) 939-0807
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2020016711
MO
207N00000X
Dermatology Physician
Primary
MD61450806
WA
Other
Enumeration date
03/23/2019
Last updated
02/05/2024
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