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Richard Lee Ferguson, CRM/PSS/QMHA-I
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1992156608

Richard Lee Ferguson is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Richard Lee Ferguson practices in Portland, OR and has the professional credentials of CRM/PSS/QMHA-I. The NPI Number for Richard Lee Ferguson is 1992156608 and holds a License No. 24-QMHA-I-004527 (Oregon).

The current practice location address for Richard Lee Ferguson is 1310 Sw 17Th Ave, Portland, OR and can be reached out via phone at 503-231-2641 and via fax at 503-467-4077.

Location: 1310 Sw 17Th Ave, Portland, OR, 97205-1715
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Provider Profile Details
NPI Number
1992156608
Provider Name
Richard Lee Ferguson
Credential
CRM/PSS/QMHA-I
Provider Entity Type
Individual
Gender
Male
Address
1310 Sw 17Th Ave, Portland, OR, 97205-1715
Phone Number
503-231-2641
Fax Number
503-467-4077
Provider Enumeration Date
06/23/2016
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500729252 05 OR
500819387 05 OR
institution
Provider Business Practice Location Address Details
Address
1310 Sw 17Th Ave
City
State
Zip
97201-2522
Phone Number
503-231-2641
Fax Number
503-467-4077
person
Provider Business Mailing Address Details
Address
1310 Sw 17Th Ave
City
State
Zip
97201-2522
Phone Number
503-231-2641
Fax Number
503-467-4077
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14-CRM-047 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
THW000000872 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
24-QMHA-I-004527 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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