Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. MA Theresa L. Vanden Berg, MD

Individual provider Family Medicine Physician · NPI 1952591711

Dr. MA Theresa L. Vanden Berg, MD is a Family Practice in Longview, Washington. Qualified in 2001, 25 years ago. Practices with The Vancouver Clinic Inc Ps, a 580-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Washington.

Years since qualifying
25
Licensed in
MI, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1718 E Kessler Blvd
Longview, WA 98632-1842
Phone: (360) 747-5800
Fax: (360) 575-3846
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD60120609 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 4301089956 (MI)

Record details

NPI number1952591711
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 27, 2007
Last updated in NPPESJuly 30, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice The Vancouver Clinic Inc Ps — 580 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Longview