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1982660700
ROBERT W BERGSTROM
GRESHAM, OR
NPI
1982660700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD24029)
Enumeration Date
2006-04-21
Last Update Date
2010-03-17
Business Address
ROBERT W BERGSTROM MD
831 NW COUNCIL DR SUITE 125
GRESHAM, OR 97030-3721
Phone number: 503-661-3439
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Mailing Address
ROBERT W BERGSTROM MD
PO BOX 92900
PORTLAND, OR 97292-0900
Phone number:
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