| Rebecca Berzow Nd | |
|
15455 Nw Greenbrier Pkwy Ste 100 Beaverton OR 97006-7357 | |
| (971) 231-4372 | |
| (971) 277-6027 |
| Full Name | Rebecca Berzow Nd |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 15455 Nw Greenbrier Pkwy Ste 100, Beaverton, Oregon |
| Authorized Official Name and Position | Rebecca Berzow (DOCTOR) |
| Authorized Official Contact | 9712314372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Berzow Nd 15455 Nw Greenbrier Pkwy Ste 100 Beaverton OR 97006-7357 Ph: (971) 231-4372 | Rebecca Berzow Nd 15455 Nw Greenbrier Pkwy Ste 100 Beaverton OR 97006-7357 Ph: (971) 231-4372 |
| NPI Number | 1730518754 |
|---|---|
| Provider Enumeration Date | 11/12/2013 |
| Last Update Date | 02/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730518754 | NPI | - | NPPES |
| 1871 | Other | OR | LICENSE |
| 1164799813 | Other | OR | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | 1871 (Oregon) | Primary |
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