Individual
CRAIG RANDALL FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2200 NE NEFF RD STE 302, BEND, OR 97701-4279
(541) 706-4220
Mailing address
3500 90TH AVE SE, #258, MERCER ISLAND, WA 98040-3146
(206) 240-7998
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201907594NP-PP
OR
363LF0000X
Family Nurse Practitioner
3171749
ID
363LF0000X
Family Nurse Practitioner
Primary
PENDING
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9658030
—
WA
Enumeration date
07/11/2008
Last updated
02/01/2026
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