DANE BERG

PORTLAND, OR
NPI1194589648
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  23-10-20343)
Enumeration Date2024-02-06
Last Update Date2024-02-06
Business Address
DANE BERG CADC-II
6025 SE BELMONT ST
PORTLAND, OR 97215-1927
Phone number: 503-783-8557
Mailing Address
DANE BERG CADC-II
13598 SE 145TH AVE
CLACKAMAS, OR 97015-6247
Phone number:
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