Individual
DR. LAUREL R BERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10100 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 240-4053
Mailing address
500 NE MULTNOMAH ST FL 11, PORTLAND, OR 97232-2023
(503) 240-4053
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2003-0077
NM
207P00000X
Emergency Medicine Physician
MD150390
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14924
PRESBY- TERIAN
—
01
—
193824
WA L&I
—
01
—
28118
LOVELACE
—
05
—
90085094
—
NM
Enumeration date
05/27/2006
Last updated
07/05/2025
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