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Individual

JOYCE M BERNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
13200 SW PACIFIC HWY, TIGARD, OR 97223
(503) 598-2000
(503) 639-0920
Mailing address
13200 SW PACIFIC HWY, TIGARD, OR 97223

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15849
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
075473
OR
01
080119194
RR PIN
Enumeration date
05/12/2006
Last updated
05/03/2013
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