Organization
THE HEARTWOOD CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA ELIZABETH BERGMAN LAC (ACUPUNCTURIST AND CLINIC OWNER)
(503) 791-4648
Entity
Organization
Contact information
Practice address
723 NW 18TH AVENUE, PORTLAND, OR 97209-2315
(503) 791-4648
Mailing address
723 NW 18TH AVENUE, PORTLAND, OR 97209-2315
(503) 791-4648
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AC173854
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500706395
—
OR
Enumeration date
01/02/2016
Last updated
12/15/2022
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