Individual
MICHELE JEAN BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1040 NW 22ND AVE, STE 500, PORTLAND, OR 97210-3057
(503) 227-5050
Mailing address
1014 N SPRINGBROOK RD, STE B, NEWBERG, OR 97132-2061
(503) 449-8988
(503) 894-9194
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201501470NP-PP
OR
363LA2200X
Adult Health Nurse Practitioner
201501470NP-PP
OR
363LF0000X
Family Nurse Practitioner
201501470NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
201501470NP-PP
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
201501470NP-PP
OR
Other
Enumeration date
05/18/2012
Last updated
08/24/2021
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