Individual
MRS. OLIVIA FAITH FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1790 W 11TH AVE STE 200, EUGENE, OR 97402-3871
(541) 686-2688
Mailing address
PO BOX 71, CRESWELL, OR 97426-0071
(541) 206-8376
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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