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1174638514
HOWARD KEITH FERGUSON
CLACKAMAS, OR
NPI
1174638514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA00324)
Enumeration Date
2006-08-19
Last Update Date
2007-07-08
Business Address
-- HOWARD KEITH FERGUSON PAC
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9750
Phone number: 503-571-3009
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Mailing Address
-- HOWARD KEITH FERGUSON PAC
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9750
Phone number: 503-571-3009
Copy
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