Individual
ALYSON NICOLE BERGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1818 SE DIVISION ST, PORTLAND, OR 97202-1159
(503) 238-0705
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
09/27/2022
Last updated
05/02/2023
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