Individual
JEFFREY BERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-2064
Mailing address
3095 NW GRAVENSTEIN ST, CAMAS, WA 98607-7377
(360) 834-0418
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
200542648RN
OR
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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