Individual provider · Type 1 NPI

Jacob Martin Berg

Student in an Organized Health Care Education/Training Program · Lebanon, OR

NPI number 1023769288 Active

Practice location

200 Mullins Drive
Lebanon, OR 97355-3983

Call (541) 259-0235 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1023769288

Jacob Martin Berg's National Provider Identifier is 1023769288, issued on Jan 10, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lebanon, OR. The record was last updated on Jan 10, 2022.