Individual
GARY WAYNE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
625 N 5TH ST, LEBANON, OR 97355-2875
(541) 791-7997
Mailing address
625 N 5TH ST, LEBANON, OR 97355-2875
(541) 791-7997
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-P-10133821
OR
Other
Enumeration date
11/28/2011
Last updated
11/30/2015
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