NINA L BERGQUAM

NEWBERG, OR
NPI1558301259
Former NameNINA MICHELLE LEW
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD21625)
Enumeration Date2006-06-08
Last Update Date2021-02-05
Business Address
NINA L BERGQUAM MD
1003 PROVIDENCE DR STE 110
NEWBERG, OR 97132-7521
Phone number: 503-537-5900
Mailing Address
NINA L BERGQUAM MD
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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