# PORTLAND DIABETES & ENDOCRINOLOGY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Portland Diabetes & Endocrinology Center, P C
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942419569
- **Authorized official:** DR. RICHARD W BERGSTROM M.D. (PRESIDENT)
- **Authorized official phone:** (503) 274-4884

## Contact information

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

## Taxonomy

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

## Other

- **Enumeration date:** 05/21/2007
- **Last updated:** 07/09/2026