DR. Ralph William Bergstrom JR., M.D.

NPI #1437266863 in White City, Oregon

Provider Information

NPI Number: 1437266863
Entity Type: Individual
Name: DR. Ralph William Bergstrom JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Aug 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8495 CRATER LAKE HWY
City: White City
State: Oregon
ZIP Code: 97503-3011
Phone: (541) 826-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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