| Organization Name: | HOUSECALL MEDICAL SERVICES, INC |
| NPI Number: | 1093053431 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MONICA FERGUSON (OWNER) |
| Mailing Address: | 49 Ladd St Lake Oswego |
| State: | OR US |
| Postal Code: | 970343853 |
| Phone Number: | 5033587908 |
| Fax Number: | 5033459867 |
| NPI Enumeration Date: | 01/18/2013 |
| NPI Last Update Date: | 05/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 200650008NP |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |