Provider Demographics
NPI:1366617615
Name:MCFERRAN, DON STEPHAN (PMHNP)
Entity type:Individual
Prefix:MR
First Name:DON
Middle Name:STEPHAN
Last Name:MCFERRAN
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:731 NW FRANKLIN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-2752
Mailing Address - Country:US
Mailing Address - Phone:541-306-4447
Mailing Address - Fax:541-306-4475
Practice Address - Street 1:731 NW FRANKLIN AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-2752
Practice Address - Country:US
Practice Address - Phone:541-306-4447
Practice Address - Fax:541-306-4475
Is Sole Proprietor?:No
Enumeration Date:2008-04-28
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR081046617N6363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR00817OtherOREGON HEALTH PLAN
OR00817OtherOREGON HEALTH PLAN