Bergman, Sara E
Bergman, Sara E is an individual health care provider with primary practice located at 723 Nw 18Th Avenue , Portland OR 97209-2315. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Bergman, Sara E can be contacted via phone (503) 791-4648.Contact Information
Primary practice address
723 Nw 18Th Avenue
Portland OR 97209-2315
Phone: (503) 791-4648
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC173854 | Oregon |
Profile Details
| NPI number | 1104282474 |
|---|---|
| LBN Legal business name | Bergman, Sara E |
| Credentials | Licensed Acupuncturist (LAC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2016 |
| Last updated | Dec 15th, 2022 - about 2 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 | 1104282474 | NPPES |
| Oregon | MEDICAID | 500706395 |
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