NPI 1295881019 · live from the CMS NPI Registry
Lauren A. Berg, MA, LPA
Psychologist in Portland, OR. National Provider Identifier 1295881019, active.
NPI record
| NPI | 1295881019 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 1308 Nw 20th Ave, Portland, OR 97209 |
| Practice phone | 503-358-4122 |
| Enumerated | January 26, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist primary | 103T00000X | 5054 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.