Individual
MR. BENJAMIN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080-1494
(503) 666-5050
(503) 666-1162
Mailing address
305 SE CHKALOV DR, STE 170, VANCOUVER, WA 98683-5263
(803) 435-8463
(803) 435-5288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01623
WV
363A00000X
Physician Assistant
Primary
7803
AZ
363AM0700X
Medical Physician Assistant
1844
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1844
LICENSE
SC
01
—
PA181079
LICENSE
OR
Enumeration date
03/06/2012
Last updated
02/08/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us