Individual
DR. RALPH WILLIAM BERGSTROM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
7347 PINERIDGE DR, MEDFORD, OR 97504-9226
(541) 779-8179
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD08655
OR
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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