| Doctor Name: | MR. GREGORY T FERGUSON |
| NPI Number: | 1003108804 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CP |
| License Number: | PS60224084 |
| Business Practice Address: | 411 12th Ave Suite 200 Seattle, WA - 981225599 |
| Business Phone Number: | 2063284276 |
| Business Fax Number: | 2063281037 |
| Mailing Address: | 411 12th Ave, Suite 200 SEATTLE |
| State: | WA |
| Postal Code: | 981225599 |
| Phone Number: | 2063284276 |
| Fax Number: | 2063281037 |
| NPI Enumeration Date: | 05/11/2011 |
| NPI Last Update Date: | 05/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | PS60224084 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |