person
Stanley R Ferguson, PA-C
Medical Physician Assistant in Newport, Oregon
NPI 1124105838

Stanley R Ferguson is a Medical Physician Assistant based in Newport, OR and is specialized in Medical. Stanley R Ferguson practices in Newport, OR and has the professional credentials of PA-C. The NPI Number for Stanley R Ferguson is 1124105838 and holds a License No. PA00220 (Oregon).

The current practice location address for Stanley R Ferguson is 775 Sw 9Th St, Newport, OR and can be reached out via phone at 541-265-2007 and via fax at 541-265-3533.

Location: 775 Sw 9Th St, Newport, OR, 97365-4895
person
Provider Profile Details
NPI Number
1124105838
Provider Name
Stanley R Ferguson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
775 Sw 9Th St, Newport, OR, 97365-4895
Phone Number
541-265-2007
Fax Number
541-265-3533
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110047682 01 OR RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
775 Sw 9Th St
City
State
Zip
97365-4895
Phone Number
541-265-2007
Fax Number
541-265-3533
person
Provider Business Mailing Address Details
Address
775 Sw 9Th St
City
State
Zip
97365-4895
Phone Number
541-265-2007
Fax Number
541-265-3533
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA00220 (Oregon)
Definition
Definition to come...
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