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Mr. Matthew Jay Bergstrom
Professional Counselor in Boardman, Oregon
NPI 1427066828

Matthew Jay Bergstrom is a Professional Counselor based in Hermiston, OR and is specialized in Professional. Matthew Jay Bergstrom practices in Boardman, OR. The NPI Number for Matthew Jay Bergstrom is 1427066828 and holds a License No. (Oregon).

The current practice location address for Matthew Jay Bergstrom is 101 N.w. Boardman Ave., Boardman, OR and can be reached out via phone at 541-481-2911 and via fax at 541-481-2006.

Location: 101 N.w. Boardman Ave., Boardman, OR, 97838-6315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427066828
Provider Name
Matthew Jay Bergstrom
Credential
Provider Entity Type
Individual
Gender
Male
Address
101 N.w. Boardman Ave., Boardman, OR, 97838-6315
Phone Number
541-481-2911
Fax Number
541-481-2006
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
101 N.w. Boardman Ave.
City
Boardman
State
Oregon
Zip
97818
Phone Number
541-481-2911
Fax Number
541-481-2006
person
Provider Business Mailing Address Details
Address
101 N.w. Boardman Ave.
City
Boardman
State
Oregon
Zip
97818
Phone Number
541-481-2911
Fax Number
541-481-2006
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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