Individual
DR. BJORN PAUL BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1130 SW MORRISON ST, SUITE 619, PORTLAND, OR 97205-2234
(503) 780-3723
Mailing address
1130 SW MORRISON ST STE 619, PORTLAND, OR 97205-2217
(503) 780-3723
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
2444
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2010
Last updated
02/24/2020
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