GREG CLARKE FERGUSON

PORTLAND, OR
NPI1942575881
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: OR  094000338)
Additional Taxonomies183500000X Pharmacist
(Licence: OR  8139)
Enumeration Date2012-03-10
Last Update Date2012-09-28
Business Address
Mr. GREG CLARKE FERGUSON Rph RN
4522 SE LINCOLN ST
PORTLAND, OR 97215-3744
Phone number: 503-816-5421
Mailing Address
Mr. GREG CLARKE FERGUSON Rph RN
4522 SE LINCOLN ST
PORTLAND, OR 97215-3744
Phone number: 503-816-5421