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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1326017997 NPPES
Oregon MEDICAID 018317

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