Individual
ALIK BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1235 SE DIVISION ST STE 205, PORTLAND, OR 97202-1000
(541) 905-7825
Mailing address
3925 SE 62ND AVE, PORTLAND, OR 97206-3605
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27961
OR
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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