Individual
ERIK BERNTSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPCP
Contact information
Practice address
1820 SW VERMONT ST, SUITE K, PORTLAND, OR 97219-1945
(503) 954-1629
Mailing address
1820 SW VERMONT ST, SUITE K, PORTLAND, OR 97219-1945
(503) 954-1629
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
BAP-TA-10133461
OR
Other
Enumeration date
12/02/2014
Last updated
12/29/2015
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