Susan E. Berg, A.R.N.P.

Individual provider Active NPI Clinical Nurse Specialist · Cave Junction, OR

NPI 1972506202 · NPPES record last updated Jan 21, 2014

Key facts

NPI
1972506202
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Nurse Specialist 364S00000X
License
AP30006914 (WA)
Practice address
25647 Redwood Hwy
Cave Junction, OR 97523-9332
Phone
(541) 592-4111
Fax
(541) 592-3916
NPI assigned
May 31, 2005
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)
Yes
Credentials
Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X AP30006914 WA Yes

Addresses

Primary practice location

25647 Redwood Hwy
Cave Junction, OR 97523-9332

Mailing address

1701 NW Hawthorne Ave
Suite 201
Grants Pass, OR 97526-1257
Phone (541) 471-3455

Other providers in Cave Junction, OR

All providers in Cave Junction, OR · Clinical Nurse Specialist in Oregon

Sources for this page

Verify at the official NPI Registry.