Bergstrom, Bjorn Paul
Bergstrom, Bjorn Paul is an individual health care provider with primary practice located at 1130 Sw Morrison St Suite 619, Portland OR 97205-2234. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bergstrom, Bjorn Paul can be contacted via phone (503) 780-3723.Contact Information
Primary practice address
1130 Sw Morrison St Suite 619
Portland OR 97205-2234
Phone: (503) 780-3723
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2444 | Oregon |
Profile Details
NPI number | 1902124910 |
---|---|
LBN Legal business name | Bergstrom, Bjorn Paul |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 14th, 2010 |
Last updated | Feb 24th, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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