RICHARD LEE FERGUSON

PORTLAND, OR
NPI1992156608
Other NameRICK LEE FERGUSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  14-CRM-047)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: OR  24-QMHA-I-004527)
175T00000X Peer Specialist
(Licence: OR  THW000000872)
Enumeration Date2016-06-23
Last Update Date2024-08-07
Business Address
RICHARD LEE FERGUSON CRM/PSS/QMHA-I
1310 SW 17TH AVE
PORTLAND, OR 97201-2522
Phone number: 503-231-2641
Mailing Address
RICHARD LEE FERGUSON CRM/PSS/QMHA-I
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044