NPI 1396876314 · live from the CMS NPI Registry
Carl Jeffrey Berg, Au.D.
Audiologist in Grants Pass, OR. National Provider Identifier 1396876314, active.
NPI record
| NPI | 1396876314 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1665 Williams Hwy, Grants Pass, OR 97527 |
| Practice phone | 541-474-4694 |
| Enumerated | March 8, 2007 |
| Last updated | November 19, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 22652 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.