Individual
DANE BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-II
Contact information
Practice address
6025 SE BELMONT ST, PORTLAND, OR 97215-1927
(503) 783-8557
Mailing address
13598 SE 145TH AVE, CLACKAMAS, OR 97015-6247
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23-10-20343
OR
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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