Ferguson, Casey Elizabeth

Ferguson, Casey Elizabeth is an individual health care provider with primary practice located at 4805 Ne Glisan St Ste Bg05, Portland OR 97213-2933. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ferguson, Casey Elizabeth can be contacted via phone (503) 215-2392.

Contact Information

Primary practice address
4805 Ne Glisan St Ste Bg05 Portland OR 97213-2933
Phone: (503) 215-2392
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X MD27372 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD27372 Oregon
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD27372 Oregon

Profile Details

NPI number 1447375233
LBN Legal business name Ferguson, Casey Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated May 18th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447375233 NPPES
Oregon MEDICAID 243094
Oregon Other P00464817
Oregon MEDICAID 92075355

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