MARCUS BERGEN

NEWBERG, OR
NPI1508061664
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  087006372CRNA)
Enumeration Date2007-06-19
Last Update Date2007-07-08
Business Address
-- MARCUS BERGEN CRNA
1001 PROVIDENCE WAY
NEWBERG, OR 97132
Phone number: 503-537-1796
Mailing Address
-- MARCUS BERGEN CRNA
2205 SW 21ST AVE
PORTLAND, OR 97201-2358
Phone number:
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