Individual
MS. RUTH E BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2303 E BURNSIDE ST, PORTLAND, OR 97214-1655
(503) 827-3644
Mailing address
1341 SW DICKINSON LN, PORTLAND, OR 97219-9620
(503) 977-2455
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1662
OR
Other
Enumeration date
05/06/2011
Last updated
05/06/2011
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