MR. GREG CLARKE FERGUSON (NPI# 1942575881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942575881 |
| Entity Type | Individual |
| Full Name | MR. GREG CLARKE FERGUSON |
| Credential | RPH RN |
| Practice Address |
4522 Se Lincoln St Portland OR 97215-3744 |
| Practice Telephone | 5038165421 |
| Practice Fax Number | 5038165421 |
| Mailing Telephone | 5038165421 |
| Enumeration Date | 2012-03-10 |
| Last Update Date | 2012-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
094000338 | OR | Nursing Service Providers |
| N | 183500000X | Pharmacist | 8139 | OR | Pharmacy Service Providers |
| Street Address |
4522 SE LINCOLN ST |
| City | PORTLAND |
| State | OR |
| Zip Code | 97215-3744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952926339 | Lisa Silverman | Counselor | 1835 Se 50th Avenue, Portland, OR 97215 | 2020-06-11 |
| 1003381195 | Darcie Leigh Juarez | Naturopath | 6118 Se Belmont St Ste 407, Portland, OR 97215 | 2018-10-04 |
| 1740710581 | Riley W Protz | Pharmacist | 5544 E Bursnide, Portland, OR 97215 | 2017-06-14 |
| 1114459088 | Genevieve Kathleen Shields | Registered Nurse | 5451 Se Belmont, Suite 100, Portland, OR 97215 | 2017-03-30 |
| 1205282514 | Aiyana Lucas | Social Worker | 4531 Se Belmont St Ste 310b, Portland, OR 97215 | 2016-05-05 |
| 1508223918 | Catherine Ann Chapman | Counselor | 422 Se 79th Street, Suite 202, Portland, OR 97215 | 2016-01-15 |
| 1518338854 | Cody Begdorian | Acupuncturist | 4220 Se Stark, Portland, OR 97215 | 2015-10-13 |
| 1588040653 | Corinne Leblanc | Acupuncturist | 2305 Se 50th Ave., Suite 200, Portland, OR 97215 | 2015-07-30 |
| 1942688544 | Casey Lynne Peters | Occupational Therapist | 6040 Se Belmont S, Portland, OR 97215 | 2015-05-14 |
| 1457743783 | David Alexander Gambill | Counselor | 8041 E Burnside St., Portland, OR 97215 | 2015-02-24 |
| Find all providers in zip 97215 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073149928 | Ann De Voir | Registered Nurse | 2905 Sw Greenway Ave, Portland, OR 97201-1452 | 2020-03-22 |
| 1164070595 | Yvonne M Myette | Registered Nurse | 14834 Nw Orchid St, Portland, OR 97229-6941 | 2019-08-28 |
| 1275022675 | Jennifer Rohner | Registered Nurse | 10217 Ne Knott St, Portland, OR 97220-2861 | 2018-05-02 |
| 1710494117 | Lydia Ellen Hicks | Registered Nurse | 214 W. Longview Drive, Portland, TN 37148 | 2018-01-08 |
| 1871018309 | Erin Elizabeth Graff | Registered Nurse | 5112 Ne 47th Pl, Portland, OR 97218-2066 | 2017-08-05 |
| 1487181004 | Evan Dean | Registered Nurse | 1820 Se 50th Ave, Portland, OR 97215-3236 | 2017-05-12 |
| 1285174466 | Gina Elaine Marchi | Registered Nurse | 3635 Ne 45th Ave, Portland, OR 97213-1023 | 2017-03-07 |
| 1770820532 | Terry Edward Jess | Registered Nurse | 8512 Se 13th Ave, Portland, OR 97202-7106 | 2013-01-13 |
| 1366712770 | Pamela Poghen | Registered Nurse | 235 Hwy 52 E, Portland, TN 37148 | 2012-01-03 |
| 1750665857 | Marilou N Carrera | Registered Nurse | 8216 N Brandon Ave, Portland, OR 97217-6805 | 2011-10-06 |
| Find all providers in PORTLAND | ||||
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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.