Individual
KAILEY CHERYL BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM, PSS
Contact information
Practice address
908 NE 4TH ST, BEND, OR 97701-4646
(541) 460-8237
Mailing address
908 NE 4TH ST STE 204, BEND, OR 97701-4646
(541) 460-8237
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-CRM-1049
OR
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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