Individual
JOHN O BERGSTROM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9155 SW BARNES RD,, SUITE 634, PORTLAND, OR 97225-6633
(503) 297-4123
(503) 297-0344
Mailing address
9155 SW BARNES RD,, SUITE 634, PORTLAND, OR 97225-6633
(503) 297-4123
(503) 297-0344
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
MD06700
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD06700
LICENSE
OR
Enumeration date
05/18/2006
Last updated
04/26/2026
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