Individual
MRS. JENNIFER BERGMANS YBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9620 NE TANASBOURNE DR STE 300-75, HILLSBORO, OR 97124-7843
(503) 481-3512
Mailing address
9620 NE TANASBOURNE DR STE 300-75, HILLSBORO, OR 97124-7843
(503) 481-3512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7599
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500740982
—
OR
Enumeration date
12/20/2017
Last updated
03/10/2021
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