- Practice location
- 5350 Donald St, Eugene, OR 97405-3529
- Phone
- 541-505-8558
- Fax
- 541-505-8558
- Last updated
- September 12, 2018
Clancy Bergold is a Counselor, Mental Health based in Eugene, OR. Clancy Bergold practices in Eugene, OR. The NPI Number for Clancy Bergold is 1396058467. The current practice location address for Clancy Bergold is 5350 Donald St, Eugene, OR 97405-3529 and can be reached out via phone at 541-505-8558 and via fax at 541-505-8558.
Provider Profile Details
- NPI Number
- 1396058467
- Provider Name
- Clancy Bergold
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5350 Donald St, Eugene, OR 97405-3529
- Phone Number
- 541-505-8558
- Fax Number
- 541-505-8558
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 19, 2010
- Last Update Date
- September 12, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5350 Donald St
Eugene, OR 97405-3529 - City
- Eugene
- State
- Oregon
- Zip
- 97405-3529
- Phone Number
- 541-505-8558
- Fax Number
- 541-505-8558
Provider Business Mailing Address Details
- Address
- 3587 Heathrow Way
Medford, OR 97504-4004 - City
- Medford
- State
- OR
- Zip
- 97504-4004
- Phone Number
- 541-858-8170
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Clancy Bergold?
The NPI number of Clancy Bergold is 1396058467. It was assigned on July 19, 2010 and is currently active in the NPPES registry.
What is the specialty of Clancy Bergold?
Clancy Bergold is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Clancy Bergold practice?
The practice location is 5350 Donald St, Eugene, OR 97405-3529. The office can be reached at 541-505-8558 (phone) or 541-505-8558 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396058467 directly on the NPPES registry website.