Portland Diabetes & Endocrinology
NPI 1942419569ActiveOrganization· Internal Medicine, Endocrinology, Diabetes & Metabolism· Portland, OR
Internal Medicine, Endocrinology, Diabetes & Metabolism in Portland, Oregon, registered in NPPES in May 2007. The authorized official on file is Richard W. Bergstrom, M.D., President. Enrolled in Medicare as dme supplier - physician - endocrinology and part b supplier - clinic/group practice.
Overview
| NPI | 1942419569 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2007 |
| Last updated in NPPES | Jul 9, 2026 |
| Certified by provider | Jul 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Endocrinology, Diabetes & Metabolism Primary | 207RE0101X | — | OR |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Endocrinology (OR); Part B Supplier - Clinic/Group Practice (OR) |
|---|
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