Individual
DR. PHILLIP MICHAEL BERGREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP
Contact information
Practice address
17070 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4960
(503) 303-4000
(503) 344-4412
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
(503) 764-9042
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202215624NP-PP
OR
Other
Enumeration date
03/30/2021
Last updated
07/06/2023
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