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Organization

PORTLAND DIABETES & ENDOCRINOLOGY

Active
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Organization

PORTLAND DIABETES & ENDOCRINOLOGY

Active
Other names
Portland Diabetes & Endocrinology Center, P C
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RICHARD W BERGSTROM M.D. (PRESIDENT)
(503) 274-4884
Entity
Organization

Contact information

Practice address
9135 SW BARNES RD STE 985, PORTLAND, OR 97225-6699
(503) 297-3336
(503) 297-3338
Mailing address
9135 SW BARNES RD STE 985, PORTLAND, OR 97225-6699
(503) 297-3336
(503) 297-3338

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
OR
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL

Other

Enumeration date
05/21/2007
Last updated
07/09/2026
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