Berg, Helge R

Berg, Helge R is an individual health care provider with primary practice located at 2700 Se Stratus Ave , Mcminnville OR 97128-6255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Berg, Helge R can be contacted via phone (503) 472-6131.

Contact Information

Primary practice address
2700 Se Stratus Ave Mcminnville OR 97128-6255
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD12248 Oregon

Profile Details

NPI number 1154355063
LBN Legal business name Berg, Helge R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Dec 19th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154355063 NPPES
Other JM9391 PACC
MEDICAID 8351496 PACC
MEDICAID 231357 PACC
Other E05147 PACC
Other E05147 PACC
Other 58684 PACC
MEDICAID XPY187867 PACC

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