Individual
JAN E FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2804 SW 6TH ST, REDMOND, OR 97756-7143
(541) 693-5600
Mailing address
2804 SW 6TH ST, REDMOND, OR 97756-7143
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17709
OR
Other
Enumeration date
02/25/2015
Last updated
05/15/2024
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