Individual
MARGUERITE BERGIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4410 SE WOODSTOCK BLVD, #210, PORTLAND, OR 97206-6206
(971) 285-3539
Mailing address
4410 SE WOODSTOCK BLVD, #210, PORTLAND, OR 97206-6206
(971) 285-3539
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
5522
OR
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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