Jennifer Edna Bergman, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1060074 Issued in OR

Practice address

9800 SE Sunnyside Rd
Clackamas, OR 97015-9750

Phone

(503) 652-2880

NPI assigned

Nov 15, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447322136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 NW 67TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981175133",
            "telephone_number": "206-351-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 SE SUNNYSIDE RD",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159750",
            "telephone_number": "503-652-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "JENNIFER",
        "middle_name": "EDNA",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1060074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTR",
            "identifier": "1060074",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zakary Syl Benson, PT
• Cody Jens Benthin, M.D.
• Kacey Allison Berberich
• Laurel R Berge, M.D.
• Alexander Patrick Berger, PA-C
• Allen R Berry, CRNA
• Ethan A Berry, MSN CRNA
• Rebecca Bertram, PHARMD
• Denise Lynette Best, L.P.C.
• Jay Gordon Betts, D.O.

• Occupational Therapist in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.