Organization
REBECCA BERZOW ND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BERZOW ND (DOCTOR)
(971) 231-4372
Entity
Organization
Contact information
Practice address
15455 NW GREENBRIER PKWY STE 100, BEAVERTON, OR 97006-7357
(971) 231-4372
(971) 277-6027
Mailing address
15455 NW GREENBRIER PKWY STE 100, BEAVERTON, OR 97006-7357
(971) 231-4372
(971) 277-6027
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
1871
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164799813
INDIVIDUAL NPI
OR
01
—
1871
LICENSE
OR
Enumeration date
11/12/2013
Last updated
02/24/2015
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