Individual
WENDY S BERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2800 N VANCOUVER AVE STE 255, PORTLAND, OR 97227
(503) 413-2215
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
093006702N5
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130281
—
OR
Enumeration date
12/13/2006
Last updated
09/28/2018
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