Individual
MRS. MONICA FERGUSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
511 MAIN ST, SUITE 112, OREGON CITY, OR 97045-1830
(503) 344-6717
(503) 345-9867
Mailing address
PO BOX 945, LAKE OSWEGO, OR 97034-0103
(503) 344-6717
(503) 345-9867
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
200650008NP
OR
363LF0000X
Family Nurse Practitioner
200650008NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093053431
HOUSECALL MEDICAL SERVICES, INC NPI
OR
01
—
1336596113
NPI AT HOME PROIMARY CARE
OR
01
—
1932154366
NPI
OR
05
—
243056
—
OR
01
—
462059907
FEDERAL
OR
05
—
500678021
—
OR
01
—
R178969
MEDICARE ID INDIV HMS
OR
01
—
R178970
MEDICARE ID HMS
OR
Enumeration date
05/24/2006
Last updated
05/20/2016
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