RICHARD LEE FERGUSON (NPI# 1992156608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992156608 |
| Entity Type | Individual |
| Full Name | RICHARD LEE FERGUSON |
| Credential | 14-CRM-047 |
| Practice Address |
229 Se 181st Ave Portland OR 97233-4834 |
| Mailing Address |
Po Box 16756 Portland OR 97292-0756 |
| Practice Telephone | 9713863434 |
| Practice Fax Number | 5039468745 |
| Mailing Telephone | 9713863434 |
| Mailing Fax Number | 5032082596 |
| Enumeration Date | 2016-06-23 |
| Last Update Date | 2017-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 14-CRM-047 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518376110 | Richard Ferguson | Massage Therapist | 16720 116th Ave Se, Ste. 2, Renton, WA 98058-5277 | 2014-08-07 |
| 1356687990 | Richard Edwin Ferguson | Internal Medicine | 111 Glen Dr, Sausalito, CA 94965-2069 | 2013-01-01 |
| 1720225428 | Richard Andrew Ferguson I | Licensed Practical Nurse | 497 Columbia Ave, Rochester, NY 14611-3639 | 2009-01-16 |
| 1891726147 | Richard B Ferguson Jr. | Dentist | 814 6th Ave, Tacoma, WA 98405-4501 | 2006-07-05 |
| 1548215882 | Richard Burks Ferguson | Internal Medicine | 8 S Rue Charles, San Antonio, TX 78217-5157 | 2006-05-24 |
| 1467420638 | Richard Ferguson | Psychiatry & Neurology | 771 Main St, East Aurora, NY 14052-1936 | 2006-03-14 |
| 1942789086 | Richard Adam Ferguson | Physician Assistant | 2440 E 81st St, Tulsa, OK 74137-4200 | 2018-08-09 |
| 1275973588 | Richard Ferguson Vi | Registered Nurse | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2013-07-01 |
| 1437366846 | Richard A Ferguson | Counselor | 100 White Spruce Blvd, Suite L202, Rochester, NY 14623-1507 | 2007-05-16 |
| 1710050943 | Richard E Ferguson | Dentist | 813 Stilson Rd, Suite C, Boise, ID 83703-5119 | 2006-11-16 |
| Street Address |
229 SE 181ST AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97233-4834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891146700 | Heidi Hill | Peer Specialist | 229 Se 181st Ave, Portland, OR 97233-4834 | 2016-06-22 |
| 1588262935 | Jacquelin Stedman | Peer Specialist | 229 Se 181st Ave, Portland, OR 97233-4834 | 2020-10-16 |
| 1326646902 | Alexander Snowden | Peer Specialist | 229 Se 181st Ave, Portland, OR 97233-4834 | 2020-10-15 |
| 1134726268 | Gionni Gambino | Peer Specialist | 229 Se 181st Ave, Portland, OR 97233-4834 | 2020-10-01 |
| 1184146607 | Angele Whinn Leetch | Peer Specialist | 229 Se 181st Ave, Portland, OR 97233-4834 | 2017-07-17 |
| 1134667744 | John Lafrance | Peer Specialist | 229 Se 181st Ave, Portland, OR 97233-4834 | 2017-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448164 | Moore Therapy Services, LLC | Behavioral Analyst | 2053 Se 181st Ave, Portland, OR 97233 | 2020-08-20 |
| 1427563733 | Central City Concern Inc | Clinic/Center | 1415 Se 122nd Ave, Portland, OR 97233 | 2017-12-08 |
| 1427573443 | Sunshine Ahc | In Home Supportive Care | 2217 Se 156th Ave, Portland, OR 97233 | 2017-08-10 |
| 1538609433 | Nathaniel Davis Jr. | Counselor | 8915 Se Center St, Tigard, OR 97233 | 2017-02-27 |
| 1154878627 | Oregon Outreach Inc | Case Management | 1740 South East 139th Avenue, Portland, OR 97233 | 2016-09-01 |
| 1023461019 | Julianne Baltzley | Counselor | 2409 Se 149th Avenue, Portland, OR 97233 | 2016-07-14 |
| 1710332143 | Emma Slater | Counselor | 12360 Se Burnside, Portland, OR 97233 | 2016-05-04 |
| 1245621952 | Gregory Brett Bledsoe | Counselor | 1427 Se 182nd Ave., Portland, OR 97233 | 2015-02-17 |
| 1396149852 | Jacqueline Bension | Counselor | 1705 Se 122nd Ave, Portland, OR 97233 | 2014-10-13 |
| 1700206950 | Olga I Zlatova I | Dental Hygienist | 325 Se 154th Ave, Portland, OR 97233 | 2014-04-25 |
| Find all providers in zip 97233 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| 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. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255576 | Thomas Roy Hooks | Peer Specialist | 1221 Sw 11th Ave Apt 102, Portland, OR 97205-2143 | 2020-11-04 |
| 1538773155 | Mamie Nzigire Zagabe | Peer Specialist | 605 Se Cesar Estrada Chavez Blvd, Portland, OR 97214 | 2020-09-01 |
| 1245896307 | Anthony James Hardy | Peer Specialist | 10336 Ne Wygant St, Portland, OR 97220-3368 | 2019-05-14 |
| 1881155596 | Laray Jermaine Thomas | Peer Specialist | 11509 Se Stephens St, Portland, OR 97216-3660 | 2019-03-26 |
| 1932684248 | Dorothy Joanna Burton | Peer Specialist | 3716 Ne Martin Luther King Blvd, Portland, OR 97212-1111 | 2018-10-02 |
| 1750886255 | Steven Wade | Peer Specialist | 4512 Ne Portland Hwy, Portland, OR 97218-1363 | 2018-03-27 |
| 1669991212 | Kimberly Jaye Randall | Peer Specialist | 17214 Se Division St Ste 2, Portland, OR 97236-1282 | 2017-09-14 |
| 1689103897 | Walter Bulter | Peer Specialist | 5257 Ne Martin Luther King Jr Blvd Ste 202, Portland, OR 97211-3283 | 2017-06-09 |
| 1306373543 | Brenda Kay Mitchell | Peer Specialist | 10373 Ne Hancock St Ste 132, Portland, OR 97220-3873 | 2017-05-18 |
| 1760914493 | Changing Perceptions | Peer Specialist | 1720 Nw Lovejoy St # 329, Portland, OR 97209-2346 | 2017-03-31 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on RICHARD LEE FERGUSON.
| 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.