Search › Oregon › 1223G0001X
Lance Bergeson, D.M.D
NPI 1245683911 · on the registry since 2016
Practice
- Address
- 5071 Ne 122nd Ave
Portland, OR 97230 - Phone
- (503) 255-5700
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 1223G0001X
- Licence states on file
- OR, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon