Individual
JUSTIN R FERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10330 SE 32ND AVE STE 205, MILWAUKIE, OR 97222-6594
(503) 513-8950
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO201816
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG188372
OR
Other
Enumeration date
05/03/2018
Last updated
07/15/2021
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