Organization
EMERGENCY MEDICAL ASSOCIATES OF MCMINNVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELGE BERGE (MANAGING PARTNER)
(503) 538-1865
Entity
Organization
Contact information
Practice address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128-6255
(503) 472-6131
Mailing address
PO BOX 2065, SEATTLE, WA 98111-2065
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168132
—
OR
01
—
56098
WASHINGTON L&I
—
05
—
7063084
—
WA
01
—
8933475
CRIME VICTIMS
—
01
—
CG3709
RAILROAD MEDICARE
—
Enumeration date
05/20/2006
Last updated
10/09/2007
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