Individual
MR. MATTHEW JAY BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 N.W. BOARDMAN AVE., BOARDMAN, OR 97818
(541) 481-2911
(541) 481-2006
Mailing address
32922 JOHNSTON LN, HERMISTON, OR 97838-6315
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/03/2006
Last updated
09/11/2025
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