Bergstrom, Richard Walter
Bergstrom, Richard Walter is an individual health care provider with primary practice located at 9135 Sw Barnes Rd Ste 985 , Portland OR 97225-6699. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Bergstrom, Richard Walter can be contacted via phone (503) 297-3336.Contact Information
Primary practice address
9135 Sw Barnes Rd Ste 985
Portland OR 97225-6699
Phone: (503) 297-3336
Fax: (503) 297-3338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | MD16439 | Oregon |
Profile Details
| NPI number | 1326196841 |
|---|---|
| LBN Legal business name | Bergstrom, Richard Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Mar 7th, 2023 - about 3 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 | 1326196841 | NPPES |
| Oregon | MEDICAID | 003736 |
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