Provider Demographics
NPI:1144405440
Name:BERGER, KARAN (PSY D, MSW)
Entity Type:Individual
Prefix:
First Name:KARAN
Middle Name:
Last Name:BERGER
Suffix:
Gender:F
Credentials:PSY D, MSW
Other - Prefix:
Other - First Name:KARAN
Other - Middle Name:BERGER
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:PO BOX 22006
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97269-2006
Mailing Address - Country:US
Mailing Address - Phone:503-319-8172
Mailing Address - Fax:
Practice Address - Street 1:1073 OAK ST SE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-4018
Practice Address - Country:US
Practice Address - Phone:503-585-4949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist