| Daniel R Berger, | |
|
24800 Se Stark St, Gresham, OR 97030-3378 | |
| (503) 674-1122 | |
| Not Available |
| Full Name | Daniel R Berger |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 24800 Se Stark St, Gresham, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073539359 | NPI | - | NPPES |
| 286869 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD23615 (Oregon) | Primary |
| Entity Name | Northwest Acute Care Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215983200 PECOS PAC ID: 7012807373 Enrollment ID: O20040318001535 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel R Berger, Po Box 4979, Portland, OR 97208-4979 Ph: (855) 691-9891 | Daniel R Berger, 24800 Se Stark St, Gresham, OR 97030-3378 Ph: (503) 674-1122 |
Karen Jeanne O'neill, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1400 | |
Dr. Kelly Leaf, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Emergency Department, Gresham, OR 97030 Phone: 503-674-1122 | |
Nigel M Longland, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1400 | |
Crystal Weis, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1122 | |
Joel B Brenner, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-674-1400 | |
Jason Roger Bell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 24800 Se Stark St, Legacy Mt. Hood Medical Center, Emergency Medicine, Gresham, OR 97030 Phone: 503-674-1400 |