Individual
MR. CHRISTOPHER WADE FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, QMHP
Contact information
Practice address
1507 NE 122ND AVE, PORTLAND, OR 97230-1911
(503) 258-4228
(503) 493-2656
Mailing address
11035 NE SANDY BLVD, PORTLAND, OR 97220-2553
(541) 221-8681
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/15/2007
Last updated
02/26/2019
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