Individual
ALICE BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7180 SW FIR LOOP STE 1A, PORTLAND, OR 97223-8077
(503) 639-3009
(503) 620-3453
Mailing address
7180 SW FIR LOOP STE 1A, PORTLAND, OR 97223-8077
(503) 639-3009
(503) 620-3453
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC
OR
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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