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Organization
SOLACE VITALIS PLLC
Active
Organization
SOLACE VITALIS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA RUTH COOK BERGREN PMHNP-BC (PSYCHIATRIC SPECIALIST)
(503) 740-9416
Entity
Organization
Contact information
Practice address
504 MAIN ST, STEVENSVILLE, MT 59870-2836
(503) 740-9416
Mailing address
504 MAIN ST, STEVENSVILLE, MT 59870-2836
(503) 740-9416
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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