Bergstrom, John O

Bergstrom, John O is an individual health care provider with primary practice located at 9155 Sw Barnes Rd, Suite 634, Portland OR 97225-6633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Bergstrom, John O can be contacted via phone (503) 297-4123.

Contact Information

Primary practice address
9155 Sw Barnes Rd, Suite 634 Portland OR 97225-6633
Phone: (503) 297-4123
Fax: (503) 297-0344
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD06700 Oregon

Profile Details

NPI number 1639122013
LBN Legal business name Bergstrom, John O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639122013 NPPES
Oregon Other MD06700 LICENSE

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