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Individual

JOHN D BERLINGERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1600 DELTA WATERS RD, SUITE 107, MEDFORD, OR 97504-9114
(541) 858-2515
(541) 858-2514
Mailing address
815 N CENTRAL AVE, SUITE C, MEDFORD, OR 97501-5873
(541) 734-9030

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00745
OR
363AM0700X
Medical Physician Assistant
PA00745
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA00745
MEDICAL LICENSE
Enumeration date
03/02/2007
Last updated
03/07/2023
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