Jennifer Edna Bergman in Clackamas - Occupational Therapist
Jennifer Edna Bergman - NPI 1447322136
Jennifer Edna Bergman is a Occupational Therapist in Clackamas, Oregon. Jennifer Edna Bergman practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Jennifer Edna Bergman is 1447322136. The last update date is 2007-07-08.
Jennifer Edna Bergman's current location address is 9800 Se Sunnyside Rd, Clackamas, Oregon. You can contact this provider via phone number 5036522880. The mailing address for Jennifer Edna Bergman is 9800 Se Sunnyside Rd, Clackamas, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Edna Bergman |
|---|---|
| Address | 9800 Se Sunnyside Rd, Clackamas, Oregon |
| Phone Number | 5036522880 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1447322136 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9800 Se Sunnyside Rd |
|---|---|
| City | Clackamas |
| State | Oregon (OR) |
| Post Code | 970159750 |
| Phone Number | 5036522880 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 1060074 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1060074 | OR | OTR |
Post Comment/ Review Below
What is the Jennifer Edna Bergman's unique identification number?
The Jennifer Edna Bergman has been assigned the NPI (National Provider Identifier) Number 1447322136 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jennifer Edna Bergman is located?
The Jennifer Edna Bergman is situated at the following address: 9800 Se Sunnyside Rd, Clackamas, OR, 970159750.
What is the Jennifer Edna Bergman's specialty and taxonomy code?
The Jennifer Edna Bergman's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1447322136 to Jennifer Edna Bergman?
The Centers for Medicare & Medicaid Services originally issued the 1447322136 to Jennifer Edna Bergman on 2006-11-15.
As of what date were the details related to Jennifer Edna Bergman most recently updated or revised?
The information pertaining to Jennifer Edna Bergman, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.