Active NPIIndividual provider

Kailey C Berg, CRM, PSS

Peer Specialist in Bend, Oregon

NPI Number1295410447
Practice location
908 NE 4TH St, Bend, OR 97701-4646
Fax
—
Last updated
June 15, 2023

Kailey Cheryl Berg is a Peer Specialist based in Bend, OR. Kailey Cheryl Berg practices in Bend, OR and has the professional credentials of CRM, PSS. The NPI Number for Kailey Cheryl Berg is 1295410447 and holds a License No. 22-CRM-1049 (OR). The current practice location address for Kailey Cheryl Berg is 908 NE 4TH St, Bend, OR 97701-4646 and can be reached out via phone at 541-460-8237.

Provider Profile Details

NPI Number
1295410447
Provider Name
Kailey Cheryl Berg
Credential
CRM, PSS
Provider Entity Type
Individual
Gender
Female
Address
908 NE 4TH St, Bend, OR 97701-4646
Phone Number
541-460-8237
Primary Taxonomy
Peer Specialist · 175T00000X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2023
Last Update Date
June 15, 2023
Certification Date
June 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
908 NE 4TH St
Bend, OR 97701-4646
City
Bend
State
Oregon
Zip
97701-4646
Phone Number
541-460-8237
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
908 NE 4TH St Ste 204
Bend, OR 97701-4646
City
Bend
State
OR
Zip
97701-4646
Phone Number
541-460-8237

License Information

License Number
22-CRM-1049
License State
OR
Taxonomy
Peer Specialist · 175T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kailey C Berg, CRM, PSS?

The NPI number of Kailey C Berg, CRM, PSS is 1295410447. It was assigned on June 15, 2023 and is currently active in the NPPES registry.

What is the specialty of Kailey C Berg, CRM, PSS?

Kailey C Berg, CRM, PSS is registered under the primary taxonomy Peer Specialist (code 175T00000X), licensed in OR under license number 22-CRM-1049.

Where does Kailey C Berg, CRM, PSS practice?

The practice location is 908 NE 4TH St, Bend, OR 97701-4646. The office can be reached at 541-460-8237 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295410447 directly on the NPPES registry website.

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