Individual
FELICIA A. FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9135 SW BARNES RD STE 461, PORTLAND, OR 97225-6643
(503) 216-1150
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD23081
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233195
—
OR
Enumeration date
08/03/2006
Last updated
04/10/2019
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