Individual
LANDON BERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
6125 NE CORNELL RD STE 290, HILLSBORO, OR 97124-5417
(503) 389-5473
Mailing address
2365 NW IRVING ST APT 8, PORTLAND, OR 97210-3392
(503) 209-9218
(503) 372-5843
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2255
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9049971
DRIVERS LICENSE
OR
Enumeration date
06/28/2013
Last updated
03/29/2021
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