Coakley, Fergus
Coakley, Fergus is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Ohsu, Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Coakley, Fergus can be contacted via phone (503) 494-2333.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd Ohsu
Portland OR 97239-3011
Phone: (503) 494-2333
Fax: (503) 494-4982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | MD158521 | Oregon |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD158521 | Oregon |
Profile Details
| NPI number | 1306800453 |
|---|---|
| LBN Legal business name | Coakley, Fergus |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Jan 10th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306800453 | NPPES |
| California | MEDICAID | 00A695760 |
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