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General NPI Number Information
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NPI Number | 1871233478
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Entity Type | Individual
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Provider Name | HANNAH MICHELE BERGLUND
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Gender | Female
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Dates
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Enumeration Date | 03/31/2022
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 2020 8TH AVE STE 230
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City | WEST LINN
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State | OR
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Zip | 97068-4657
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Country | US
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Telephone | 971-703-1020
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Fax | 971-703-1019
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Provider Business Mailing Address
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Address Line | 10690 NE CORNELL RD STE 315
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City | HILLSBORO
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State | OR
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Zip | 97124-9224
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Country | US
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Telephone | 503-352-0468
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Fax | 503-352-1024
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 202112876RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 10029812
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License Number State | OR
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