Berg, Jonathan Peter

Berg, Jonathan Peter is an sole proprietor health care provider with primary practice located at 5010 Ne 33Rd Ave , Portland OR 97211-6946. He recently has only one registered license in Other Service Providers / Mechanotherapist, which is considered as his primary health care specialty. Berg, Jonathan Peter can be contacted via phone (503) 310-5426.

Contact Information

Primary practice address
5010 Ne 33Rd Ave Portland OR 97211-6946
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Mechanotherapist 172M00000X 1363 Oregon

Profile Details

NPI number 1679959936
LBN Legal business name Berg, Jonathan Peter
Credentials MASSAGE THERAPIST OR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2015
Last updated Aug 9th, 2015 - about 10 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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