Individual
BONNIE JAN BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1020 SW TAYLOR ST, SUITE 650, PORTLAND, OR 97205-2543
(503) 224-4654
Mailing address
1020 SW TAYLOR ST, SUITE 650, PORTLAND, OR 97205-2543
(503) 224-4654
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4065
OR
Other
Enumeration date
11/27/2006
Last updated
05/08/2008
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