Meraina C Berge, LPN
Individual provider Active NPI Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist · Corvallis, OR
NPI 1801428339 · NPPES record last updated Feb 12, 2020
Key facts
- NPI
- 1801428339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X
- License
- 201707711LPN (OR)
- Practice address
- 4455 NE Highway 20
Corvallis, OR 97330-9695 - Phone
- (541) 758-5900
- NPI assigned
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201707711LPN | OR | MD | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0807X | 201707711LPN | OR | Yes |
Addresses
Primary practice location
4455 NE Highway 20
Corvallis, OR 97330-9695
Mailing address
3415 SE Powell Blvd
Portland, OR 97202-3371
Phone (503) 234-9591
Other providers in Corvallis, OR
- Nick C Benton
- Lynn A. Bentson
- Amer Benyounes
- Poojitha Reddy Beravol
- Kathrine Ashley Berg
- Kyle Bergmann
- Seth Philip Berkowitz
- Leslie B Berman
- Patricia Berman
- Alexandra Bernal
All providers in Corvallis, OR · Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.