MR. CHRISTOPHER WADE FERGUSON


Address: 1507 Ne 122nd Ave, Portland, OR 97230-1911
Phone: 5032584228

MR. CHRISTOPHER WADE FERGUSON (NPI# 1821122391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821122391
Entity Type Individual
Full Name MR. CHRISTOPHER WADE FERGUSON
Credential MSW, QMHP
Practice Address 1507 Ne 122nd Ave
Portland
OR 97230-1911
Mailing Address 11035 Ne Sandy Blvd
Portland
OR 97220-2553
Practice Telephone 5032584228
Practice Fax Number 5034932656
Mailing Telephone 5412218681
Enumeration Date 2007-03-15
Last Update Date 2019-02-26
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1790 W 11th Ave Ste 290, Eugene, OR 974023759 5416861262

Other Providers CHRISTOPHER FERGUSON

NPI Name Taxonomy Address Enumeration
1679082523 Christopher Ferguson Physician Assistant 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 2017-09-22
1033348479 Christopher John Ferguson Psychologist 5201 University Blvd, Laredo, TX 78041-1920 2009-07-07
1245306828 Christopher Alan Ferguson Dentist 5504 Cowhorn Creek Rd, Texarkana, TX 75503 2006-11-27
1841819588 Christopher Ferguson Student in an Organized Health Care Education/Training Program 4300 Londonderry Rd, Harrisburg, PA 17109-5317 2020-04-13
1073068334 Christopher Ryan Ferguson Nurse Practitioner 5870 Alumni Circle, Mobile, AL 36608-0002 2016-08-16
1295186724 Christopher Ferguson Internal Medicine 6245 Inkster Rd, Garden City, MI 48135-4001 2016-06-27
1740527621 Christopher William Ferguson General Practice 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 2013-01-11
1972831881 Christopher K Ferguson Anesthesiology 72 Village Way Ste 2b, Hudson, OH 44236-5127 2009-12-04
1215067996 Christopher Allen Ferguson Orthopaedic Surgery 3045 Kate Bond Rd, Bartlett, TN 38133-4004 2007-03-06
1093730194 Christopher J Ferguson Podiatrist 2900 Hempstead Tpke, Suite 103, Levittown, NY 11756-1404 2006-07-12

Office Location

Street Address 1507 NE 122ND AVE
City PORTLAND
State OR
Zip Code 97230-1911

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003427915 April Charee Jackson Social Worker 1507 Ne 122nd Ave, Portland, OR 97230-1911 2020-08-13
1942849088 Rachel Marie Adkins Student in an Organized Health Care Education/Training Program 1507 Ne 122nd Ave, Portland, OR 97230-1911 2020-01-06
1144878562 Amanda Louie Counselor 1507 Ne 122nd Ave, Portland, OR 97230-1911 2019-08-28
1215583331 Avery D'alessandro Counselor 1507 Ne 122nd Ave, Portland, OR 97230-1911 2019-08-14
1750843561 Jade Miller Social Worker 1507 Ne 122nd Ave, Portland, OR 97230-1911 2019-04-01
1295292357 Shelia Marie Danzuka Counselor 1507 Ne 122nd Ave, Portland, OR 97230-1911 2019-02-25
1679042568 Elizabeth Lebourveau Counselor 1507 Ne 122nd Ave, Portland, OR 97230-1911 2018-11-20
1275008005 Nicholas Michael Kramer Counselor 1507 Ne 122nd Ave, Portland, OR 97230-1911 2018-10-08
1114407277 Ryan Dicker Social Worker 1507 Ne 122nd Ave, Portland, OR 97230-1911 2018-08-17
1760969257 Tenaya Marie Craig Counselor 1507 Ne 122nd Ave, Portland, OR 97230 2018-07-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932687233 Timisha K Wilson Social Worker 12505 Ne Halsey St, Portland, OR 97230 2018-07-30
1356828768 Sally Gail Logan Pharmacist 5725 Ne 138th Avenue, Portland, OR 97230 2018-07-27
1063937951 Marley Elizabeth Small Counselor 1507 Ne 122nd Ave., Portland, OR 97230 2017-08-11
1447771316 Shadab Nasreen Aijazi Pathology 5220 Ne 122nd Avenue, Portland, OR 97230 2017-06-30
1104378199 Derek Andrus Pharmacist 5717 Nw 138th, Portland, OR 97230 2016-10-26
1164972675 Rachael Anderson Adult Companion 423 Ne 160th Ave #11, Portland, OR 97230 2016-10-07
1750837597 Providence Elderplace Assisted Living Facility 16430 Ne Hoyt St, Portland, OR 97230 2016-08-31
1649622473 Sara Mcgroarty Counselor 17710 Ne Halsey Street, Portland, OR 97230 2016-07-05
1346699949 Steven D Stanton Counselor 1022 Ne 181st Ave, C1, Portland, OR 97230 2016-06-06
1215390091 The Wallace Medical Concern Clinic/Center 18139 Ne Couch Street, Portland, OR 97230 2016-03-30
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104427160 Kristine Lee Jones Counselor 2628 Se 87th Ave, Portland, OR 97266-1530 2020-11-05
1932711322 Rachel Wilson Counselor 1020 Se 7th Ave # 14283, Portland, OR 97214-2387 2020-08-18
1851919906 Anjana Rajan Counselor Lifeworks Northwest, 14600 Nw Cornell Rd, Portland, OR 97229 2020-07-06
1972124196 Outside In Counselor 16144 E Burnside St, Portland, OR 97233-3520 2020-04-28
1962022350 Nicole Blake Counselor 400 Commercial St, Portland, ME 04101-4660 2020-04-25
1912527201 Alexa Jenkins Counselor 2700 Se Stark St Apt 3, Portland, OR 97214-3499 2020-04-16
1467086629 Katelan Ruby Hostetler Counselor 13300 Ne San Rafael St, Portland, OR 97230-3123 2020-02-26
1356973770 Laura Kille Counselor Wise Counsel and Comfort, 2045 Se Hawthorne Blvd., Portland, OR 97214 2020-02-05
1093346777 Sprout Therapy Pdx LLC Counselor 7704 N Hereford Ave, Portland, OR 97203-3434 2020-01-30
1861030553 Steve Bijoga Counselor 1350 Forest Ave Apt 16, Portland, ME 04103-1815 2019-12-13
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Competitor

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City PORTLAND
Zip Code 97230

Improve Information

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Dataset Information

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.

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