MEDICARE: RYAN FERGUSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH60427173	WA

General Provider Information

NPI Number	:	1285056309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN FERGUSON

Provider Business Mailing Address
First Line	:	314 182ND AVE E UNIT C
Second Line	:
City	:	LAKE TAPPS
State	:	WA
Zip	:	98391-5704
Country	:	US
Telephone Number	:	253-501-6300
Fax Number	:

Provider Business Practice Location Address
First Line	:	314 182ND AVE E UNIT C
Second Line	:
City	:	LAKE TAPPS
State	:	WA
Zip	:	98391-5704
Country	:	US
Telephone Number	:	253-501-6300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2014
Last Update Date	:	12/29/2021

Similar Medicare Providers

1124126222 — DR. SCOTT LOWELL BERGEN
Practice Location Address:

314 182ND AVE E , SUITE D
LAKE TAPPS, WA
98391-5704

Practice Phone: 253-939-2225
Practice Fax:

1275695439 — DLJOHNSON, INC PS
Practice Location Address:

314 182ND AVE E , SUITE D
LAKE TAPPS, WA
98391-5704

Practice Phone: 253-862-7196
Practice Fax: 253-862-7290

1821279217 — DR. DAVID L JOHNSON DC
Practice Location Address:

314 182ND AVE E , SUITE D
LAKE TAPPS, WA
98391-5704

Practice Phone: 253-862-7196
Practice Fax:

1235599549 — MS. WENDY LEE TATE M.S., LMHC
Practice Location Address:

314 182ND AVE E UNIT C
LAKE TAPPS, WA
98391-5704

Practice Phone: 253-455-1676
Practice Fax: 253-470-3990

1396381265 — FERGUSON CONSULTING GROUP LLC
Practice Location Address:

314 182ND AVE E UNIT C
LAKE TAPPS, WA
98391-5704

Practice Phone: 360-977-8099
Practice Fax:

1730797028 — KRYSTAL R WILSON
Practice Location Address:

314 182ND AVE E UNIT C
LAKE TAPPS, WA
98391-5704

Practice Phone: 253-501-6300
Practice Fax:

Directions to “ RYAN FERGUSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.