person
John O Bergstrom, MD
Gynecology Physician in Portland, Oregon
NPI 1639122013

John O Bergstrom is a Gynecology Physician based in Portland, OR and is specialized in Gynecology. John O Bergstrom practices in Portland, OR and has the professional credentials of MD. The NPI Number for John O Bergstrom is 1639122013 and holds a License No. MD06700 (Oregon).

The current practice location address for John O Bergstrom is 9155 Sw Barnes Rd,, Portland, OR and can be reached out via phone at 503-297-4123 and via fax at 503-297-0344.

Location: 9155 Sw Barnes Rd,, Portland, OR, 97225-6633
person
Provider Profile Details
NPI Number
1639122013
Provider Name
John O Bergstrom
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9155 Sw Barnes Rd,, Portland, OR, 97225-6633
Phone Number
503-297-4123
Fax Number
503-297-0344
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MD06700 01 OR LICENSE
institution
Provider Business Practice Location Address Details
Address
9155 Sw Barnes Rd,
City
State
Zip
97225-6633
Phone Number
503-297-4123
Fax Number
503-297-0344
person
Provider Business Mailing Address Details
Address
9155 Sw Barnes Rd,
City
State
Zip
97225-6633
Phone Number
503-297-4123
Fax Number
503-297-0344
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
MD06700 (Oregon)
Definition
Definition to come...
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