Individual
MARK L BERGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5655 SW ALGER AVE, BEAVERTON, OR 97005-4076
(503) 705-1850
Mailing address
PO BOX 591, NEWBERG, OR 97132-0591
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC.0020642
CO
Other
Enumeration date
11/16/2023
Last updated
11/17/2023
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