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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306800453 NPPES
California MEDICAID 00A695760

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