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Contact Information

KATE C BERGLUND, PA-C
5050 NE HOYT ST
SUITE 511
PORTLAND, OR97213-2991
 Phone: 503-962-1020
 Fax: 503-962-1021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATE C BERGLUND · (Female)

NPI Number 1821315912
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/28/2010
Last updated 02/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # PA156507
  • OR Medicaid 500639509
  • WA Medicaid 1821315912
  • OR Other P01238740 RR MEDICARE - PROVIDENCE
Hospital affiliation(s)
  • PROVIDENCE MILWAUKIE HOSPITAL - (Acute Care)
    10150 SE 32ND AVENUE
    MILWAUKIE, OR 97222
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
  • PROVIDENCE ST VINCENT MEDICAL CENTER - (Acute Care)
    9205 SW BARNES ROAD
    PORTLAND, OR 97225
  • PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER - (Acute Care)
    1500 DIVISION STREET
    OREGON CITY, OR 97045
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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