Ferguson, Stanley R

Ferguson, Stanley R is an individual health care provider with primary practice located at 775 Sw 9Th St Suite B, Newport OR 97365-4895. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ferguson, Stanley R can be contacted via phone (541) 265-2007.

Contact Information

Primary practice address
775 Sw 9Th St Suite B Newport OR 97365-4895
Phone: (541) 265-2007
Fax: (541) 265-3533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00220 Oregon

Profile Details

NPI number 1124105838
LBN Legal business name Ferguson, Stanley R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Sep 20th, 2010 - about 15 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 1124105838 NPPES
Oregon Other 110047682 RR MEDICARE

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