Individual
SARRAH DELORES BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Mailing address
3425 13TH ST, BAKER CITY, OR 97814-1340
(541) 523-7400
(541) 523-4927
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
24-QMHA-R-5871
OR
175T00000X
Peer Specialist
Primary
THW000107357
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500811339
—
OR
01
—
B274165
ODL
OR
Enumeration date
07/19/2022
Last updated
09/04/2024
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