Bergstrom, John O
Bergstrom, John O is an individual health care provider with primary practice located at 9155 Sw Barnes Rd, Suite 634, Portland OR 97225-6633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Bergstrom, John O can be contacted via phone (503) 297-4123.Contact Information
Primary practice address
9155 Sw Barnes Rd, Suite 634
Portland OR 97225-6633
Phone: (503) 297-4123
Fax: (503) 297-0344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | MD06700 | Oregon |
Profile Details
| NPI number | 1639122013 |
|---|---|
| LBN Legal business name | Bergstrom, John O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1639122013 | NPPES |
| Oregon | Other | MD06700 | LICENSE |
Popular Providers
-
Rosenfield, Richard B
120 Nw 14Th Ave Suite 200, Portland OR 97209-2643 -
Calderwood, Camille S
3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011 -
Harsany, Robert M
10000 Se Main St Suite 248, Portland OR 97216-2448 -
Fogelson, Nicholas S.
511 Sw 10Th Ave Ste 907 , Portland OR 97205-2710 -
Sillay, Laila Raad
9555 Sw Barnes Rd Ste 360 , Portland OR 97225-6617 -
Stenson, Amy L.
3181 Sw Sam Jackson Park Rd 3181 Sw Sam Jackson Park Rd, Portland OR 97239-3011 -
Osmundsen, Blake Carter
5050 Ne Hoyt St Suite 615, Portland OR 97213-2991 -
Korman, Laura A
2250 Nw Flanders Street Suite 205, Portland OR 97210-5410