Individual
AUDREY FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.N.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
1260 SE LAMBERT ST APT 402, PORTLAND, OR 97202-6386
(727) 644-2654
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
133VN1301X
Oncology Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
08/20/2015
Last updated
04/29/2024
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