Organization
PORTLAND DIABETES & ENDOCRINOLOGY
Active
Other names
Portland Diabetes & Endocrinology Center, P C
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD W BERGSTROM M.D. (PRESIDENT)
(503) 274-4884
Entity
Organization
Contact information
Practice address
9135 SW BARNES RD STE 985, PORTLAND, OR 97225-6699
(503) 297-3336
(503) 297-3338
Mailing address
9135 SW BARNES RD STE 985, PORTLAND, OR 97225-6699
(503) 297-3336
(503) 297-3338
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151316
—
OR
Enumeration date
05/21/2007
Last updated
11/26/2025
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