Individual
EMILY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4105 SE INTERNATIONAL WAY, SUITE 501, MILWAUKIE, OR 97222-8855
(503) 496-3201
(503) 496-3208
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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