Marguerite Bergin, LMT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

5522 Issued in OR

Practice address

4410 SE Woodstock Blvd
#210
Portland, OR 97206-6206

Phone

(971) 285-3539

NPI assigned

Apr 13, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maggie Bergin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1457677692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 SE WOODSTOCK BLVD",
            "address_2": "#210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066206",
            "telephone_number": "971-285-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 SE WOODSTOCK BLVD",
            "address_2": "#210",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066206",
            "telephone_number": "971-285-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGIN",
        "first_name": "MARGUERITE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-13",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "5522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "BERGIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Wendy S Berger, CNM
• Lucija Bergere
• Sara Janelle Bergeron, BSN, RN
• Lance Bergeson, D.M.D
• Jade Bergez, PMHNP
• Phil Bergland, LPC
• Sonia Bergler, LPTA
• Danielle Berglund, MD
• Kate C Berglund, PA-C
• Kristen A Berglund, M.A., LPC

• Community Health Worker in Portland, OR
• Providers in Portland, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.