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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SARA A BERG, M.D.

Deactivated Sole Proprietor

SARA A BERG, M.D. is a Obstetrics & Gynecology healthcare provider located in CLARKSTON, Washington. NPI 1417941006 is deactivated in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · CLARKSTON, WA

This NPI has been deactivated. The record was deactivated on March 25, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1417941006
Provider Type
Individual
Gender
Female
NPI Issued
Sep 9, 2005 (0.53972602739726 yrs)
Last Updated
Jun 29, 2010
Deactivated
Mar 25, 2006
Licenses
MD00029192 (WA)
M5872 (ID)
Sole Proprietor
Yes

Practice Information

Address
1623 5TH ST
SUITE B
CLARKSTON, WA, 99403
Browse WA providers · Browse ZIP 99403
Phone
5097580128
Fax
5097580402
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in CLARKSTON, WA

Name Credential NPI
AARON M DEMEYERE MD 1972597896
JULIUS SZIGETI MD 1225067069
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.