BENJAMIN FERGUSON (NPI# 1588938724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588938724 |
| Entity Type | Individual |
| Full Name | BENJAMIN FERGUSON |
| Credential | PA |
| Practice Address |
2850 Se Powell Valley Rd Gresham OR 97080-1494 |
| Mailing Address |
305 Se Chkalov Dr Ste 170 Vancouver WA 98683-5263 |
| Practice Telephone | 5036665050 |
| Practice Fax Number | 5036661162 |
| Mailing Telephone | 8034358463 |
| Mailing Fax Number | 8034355288 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 01623 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1844 | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LICENSE | PA181079 | 01 |
| SC | LICENSE | 1844 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10 E. Hospital Street, Emergency Department, Manning, SC 29102 | 8034358463 | 8034355288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396224507 | Benjamin John Ferguson II | Counselor | 3451 Court House Dr, Ellicott City, MD 21043-4337 | 2018-08-08 |
| 1770988065 | Benjamin Ferguson | Hearing Instrument Specialist | 952 Commercial Dr, Richmond, KY 40475-3402 | 2014-10-29 |
| 1164046975 | Benjamin David Ferguson | Pharmacist | 1641 23rd Ave, Greeley, CO 80634-6012 | 2020-06-08 |
| 1932560893 | Benjamin Joseph Ferguson | Anesthesiologist Assistant | 6411 Fannin St, Houston, TX 77030-1501 | 2016-03-18 |
| 1871973677 | Benjamin Ferguson | Psychiatry & Neurology | 2 Medical Plaza Dr Ste 205, Roseville, CA 95661-3044 | 2015-06-05 |
| 1699175182 | Benjamin Ferguson | Pharmacist | 3180 Se Federal Hwy, Stuart, FL 34994-5531 | 2014-09-03 |
| 1154743607 | Benjamin Dorsey Ferguson Iv | Counselor | 156 N Lake Dr, Prestonsburg, KY 41653-1270 | 2014-01-16 |
| 1942648837 | Benjamin D Ferguson | Surgery | 1 University of New Mexico, Msc 10 5610, Albuquerque, NM 87131 | 2013-06-12 |
| Street Address |
2850 SE POWELL VALLEY RD |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-1494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898149 | Kimberly Pohlman | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2005-11-15 |
| 1215582861 | Joshua Gardner Snow | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2019-08-08 |
| 1134609043 | Jennifer Stephens | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2018-08-20 |
| 1114407301 | Crystal Luna | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2018-08-16 |
| 1295248003 | Alexandra Marie Sigmon | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2017-11-15 |
| 1427584077 | Margeaux Danielle Schmerler | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2017-05-02 |
| 1841737889 | Zubaida Abdulai | Nurse Practitioner | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2017-01-29 |
| 1154872638 | Theresa Rene Jones | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2016-10-19 |
| 1225481906 | Maci Pfaffenberger | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080 | 2016-07-19 |
| 1174997423 | Valleyview Injury & Physical Medicine, PC | Neuromusculoskeletal Medicine & OMM | 2850 Se Powell Valley Rd, Suite 205, Gresham, OR 97080-1494 | 2015-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898149 | Kimberly Pohlman | Physician Assistant | 2850 Se Powell Valley Rd, Gresham, OR 97080-1494 | 2005-11-15 |
| 1497226716 | Kayla Jerde | Physician Assistant | 24076 Se Stark St Ste 230, Gresham, OR 97030-3385 | 2018-12-14 |
| 1952858300 | Loan Duong | Physician Assistant | 24988 Se Stark St, Gresham, OR 97030-8322 | 2016-09-01 |
| 1265897599 | David E Strickland | Physician Assistant | 24900 Se Stark St Ste 109, Gresham, OR 97030-3381 | 2015-12-31 |
| 1598190274 | Kendra M Underhill | Physician Assistant | 2850 Se Powell Valley Rd Ste 100, Gresham, OR 97080 | 2013-09-12 |
| 1114279965 | Marissa Dorau | Physician Assistant | 2150 Ne Division St Ste 103, Gresham, OR 97030-5858 | 2012-10-03 |
| 1972567725 | Kristofer R Mcallister | Physician Assistant | 831 Nw Council Dr Ste 145, Gresham, OR 97030-3795 | 2006-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808605 | Pilar Lorena Lopez | Physician Assistant | 7675 Sw Spruce St, Tigard, OR 97223-8723 | 2020-10-15 |
| 1730787615 | Michael Hisao Mun Ho Pang | Physician Assistant | 1245 Sw 160th Ave, Beaverton, OR 97006-5052 | 2020-10-13 |
| 1144834805 | Logan Michael Johnston | Physician Assistant | 3319 Edgeview Ln, Forest Grove, OR 97116-1094 | 2020-09-01 |
| 1285255851 | Darby Samantha Jalbert | Physician Assistant | 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 | 2020-05-05 |
| 1033751433 | Trisha K Loch | Physician Assistant | 781 W Central, Sutherlin, OR 97479 | 2019-10-17 |
| 1154805729 | Ronald William Strohmeyer | Physician Assistant | 2327 S.w. 4th Ave, Ontario, OR 97914 | 2018-09-19 |
| 1740797166 | Joseph Something | Physician Assistant | 4800 Sw 76th Ave, Portland, OR 97225-1804 | 2018-01-08 |
| 1235687013 | Satchel Harry | Physician Assistant | 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 | 2016-09-21 |
| 1093263386 | Megan Smith | Physician Assistant | 375 Park Ave Ste 5, Coos Bay, OR 97420 | 2016-09-14 |
| 1659828044 | Ryan Jones | Physician Assistant | 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 | 2016-09-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.