Ferguson, Benjamin

Ferguson, Benjamin is an individual health care provider with primary practice located at 2850 Se Powell Valley Rd , Gresham OR 97080-1494. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ferguson, Benjamin can be contacted via phone (503) 666-5050.

Contact Information

Primary practice address
2850 Se Powell Valley Rd Gresham OR 97080-1494
Phone: (503) 666-5050
Fax: (503) 666-1162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 01623 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1844
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7803 Arizona

Profile Details

NPI number 1588938724
LBN Legal business name Ferguson, Benjamin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2012
Last updated Feb 8th, 2021 - about 3 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 1588938724 NPPES
South Carolina Other 1844 LICENSE
South Carolina Other PA181079 LICENSE

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