Individual
MRS. BARBARA A BERGERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
145 NE BROADWAY ST, MYRTLE CREEK, OR 97457-9039
(541) 863-3146
(541) 863-3226
Mailing address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 851-8110
(541) 851-8114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
79044326
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209569
—
OR
Enumeration date
09/27/2005
Last updated
02/11/2020
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