Individual
ADAM JEFFREY FERGUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 SW ACADEMY ST, DALLAS, OR 97338-1996
(503) 623-9289
Mailing address
1433 SW FLEISHAUER LN, MCMINNVILLE, OR 97128-5756
(503) 857-6375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
05/15/2026
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