SARA A BERG, MD, Obstetrics & Gynecology CLARKSTON, WA

Contact Information

SARA A BERG, MD

1623 5TH ST
SUITE B
CLARKSTON, WA 99403

Phone: 509-758-0128
Fax: 509-758-0402
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Obstetrics & Gynecology	207V00000X	16	Physician/Obstetrics & Gynecology

Indicates primary specialty

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NPI Profile & details for SARA A BERG · (Female)

NPI #	`1417941006`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	09/09/2005
Last updated	06/29/2010 - About 16 years ago
Sole proprietor ¹	Yes
Identifiers	ID License # M5872 WA License # MD00029192 ID Medicaid 002685500 WA Medicaid 1067362 Other 0005356454 AETNA Other 152174XX PREFERRED CARE ID Other 58727 BLUE CROSS OF IDAHO ID Other 000010004632 REGENCE BLUE SHIELD WA Other 3083164231BERSA MEDICAL SERVICES CORP WA Other 2005013110402042 PREMERA BLUE CROSS
Hospital affiliation(s)	ST JOSEPH REGIONAL MEDICAL CENTER - (Acute Care) 415 SIXTH STREET LEWISTON, ID 83501 TRI-STATE MEMORIAL HOSPITAL - (Critical Access) 1221 HIGHLAND AVENUE CLARKSTON, WA 99403

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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SARA A BERG, MD – NPI #1417941006Obstetrics & Gynecology

Contact Information

Specialty

Obstetrics & Gynecology

NPI Profile & details for SARA A BERG · (Female)

Reviews for SARA A BERG

SARA A BERG, MD – NPI #1417941006
Obstetrics & Gynecology