Berglund, Kate C
Berglund, Kate C is an individual health care provider with primary practice located at 5050 Ne Hoyt St Suite 511, Portland OR 97213-2991. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Berglund, Kate C can be contacted via phone (503) 962-1020.Contact Information
Primary practice address
5050 Ne Hoyt St Suite 511
Portland OR 97213-2991
Phone: (503) 962-1020
Fax: (503) 962-1021
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA156507 | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA156507 | Oregon |
Profile Details
NPI number | 1821315912 |
---|---|
LBN Legal business name | Berglund, Kate C |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 28th, 2010 |
Last updated | Feb 5th, 2021 - about 4 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 | 1821315912 | NPPES |
Oregon | MEDICAID | 500639509 | |
Oregon | MEDICAID | 1821315912 | |
Oregon | Other | P01238740 |
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