Dr Ian Ferguson, MD | |
15906 Mill Creek Blvd Ste 105, Mill Creek, WA 98012-1797 | |
(425) 385-2009 | |
(425) 939-0807 |
Full Name | Dr Ian Ferguson |
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Gender | Male |
Speciality | Dermatology |
Location | 15906 Mill Creek Blvd Ste 105, Mill Creek, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467912550 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 2020016711 (Missouri) | Secondary |
207N00000X | Dermatology | MD61450806 (Washington) | Primary |
Entity Name | Silver Falls Dermatology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134375421 PECOS PAC ID: 5890863492 Enrollment ID: O20140328000678 |
Mailing Address | Practice Location Address |
---|---|
Dr Ian Ferguson, MD 1793 13th St Se, Salem, OR 97302-2541 Ph: (503) 362-8385 | Dr Ian Ferguson, MD 15906 Mill Creek Blvd Ste 105, Mill Creek, WA 98012-1797 Ph: (425) 385-2009 |
Dr. Sowmya Ravi, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15906 Mill Creek Blvd, Suite 105, Mill Creek, WA 98012 Phone: 425-385-2009 Fax: 425-939-0807 | |
Joy Makdisi, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15906 Mill Creek Blvd, Ste 105, Mill Creek, WA 98012 Phone: 425-385-2009 Fax: 425-939-0807 | |
Joy C Wu, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15906 Mill Creek Blvd, Ste 105, Mill Creek, WA 98012 Phone: 425-385-2009 Fax: 425-939-0807 | |
Navid David Malakouti, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15906 Mill Creek Blvd, Mill Creek, WA 98012 Phone: 425-385-2009 Fax: 425-939-0807 | |
Hyunhee Park, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15906 Mill Creek Blvd, Suite 105, Mill Creek, WA 98012 Phone: 425-324-3494 Fax: 425-939-0807 | |
Dr. Ein Gun Song, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 15906 Mill Creek Blvd Ste 105, Mill Creek, WA 98012 Phone: 425-385-2009 |