Provider Demographics
NPI:1225873821
Name:BERGER, BRITTANY (CPM, LDM)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:BERGER
Suffix:
Gender:F
Credentials:CPM, LDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14155 SE HAWTHORNE CT
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97233-2330
Mailing Address - Country:US
Mailing Address - Phone:707-499-8351
Mailing Address - Fax:
Practice Address - Street 1:333 NE RUSSELL ST STE 204
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-3763
Practice Address - Country:US
Practice Address - Phone:707-499-8351
Practice Address - Fax:480-772-4995
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDEM-LD-10245029176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife