Berger, Jonathan Michael
Berger, Jonathan Michael is an individual health care provider with primary practice located at 19875 Sw 65Th Ave , Tualatin OR 97062-8353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Berger, Jonathan Michael can be contacted via phone (503) 692-7785.Contact Information
Primary practice address
19875 Sw 65Th Ave
Tualatin OR 97062-8353
Phone: (503) 692-7785
Fax: (503) 885-1663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD11070 | Oregon |
Profile Details
| NPI number | 1326017997 |
|---|---|
| LBN Legal business name | Berger, Jonathan Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Feb 18th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326017997 | NPPES |
| Oregon | MEDICAID | 018317 |
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