Healthcare Provider Details

I. General information

NPI: 1396663605
Provider Name (Legal Business Name): ERIK FRANCACH FERGUSON MAPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 TERRY AVE
SEATTLE WA
98104-1239
US

IV. Provider business mailing address

525 FEDERAL AVE E APT 106
SEATTLE WA
98102-6254
US

V. Phone/Fax

Practice location:
  • Phone: 206-292-6500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberMAPC.PC.70021241
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: