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Individual

STEPHANIE ANN BERGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC I

Contact information

Practice address
900 MAIN ST STE 200, OREGON CITY, OR 97045-1869
(971) 517-6131
Mailing address
PO BOX 16756, PORTLAND, OR 97292-0756
(971) 517-6131
(503) 208-2596

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175T00000X
Peer Specialist

Other

Enumeration date
06/27/2017
Last updated
03/03/2023
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