Individual
MR. CARL JEFFREY BERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
1665 WILLIAMS HWY, GRANTS PASS, OR 97527
(541) 474-4694
Mailing address
1665 WILLIAMS HWY, GRANTS PASS, OR 97527
(541) 474-4694
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
22652
OR
Other
Enumeration date
03/08/2007
Last updated
11/19/2019
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