Individual
DANIEL R BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1122
Mailing address
PO BOX 4979, PORTLAND, OR 97208-4979
(855) 691-9891
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD23615
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286869
—
OR
Enumeration date
07/13/2006
Last updated
03/24/2016
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