Individual
DR. LEE PHILLIPS FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
(206) 515-5886
Mailing address
1100 OLIVE WAY, MS M4-PA, SEATTLE, WA 98101-1873
(206) 583-6025
(206) 515-5886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101041579
VA
207R00000X
Internal Medicine Physician
Primary
MD00047328
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR AND INDUSTRIES #
WA
01
—
5536FE
BLUE SHIELD #
WA
05
—
8482812
—
WA
01
—
8889833
MC PTAN - KITSAP CO
WA
01
—
US7947447
AETNA PCP PIN
WA
Enumeration date
09/20/2006
Last updated
04/09/2010
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