Bergstrom, Matthew Jay

Bergstrom, Matthew Jay is an individual health care provider with primary practice located at 101 N.W. Boardman Ave. , Boardman OR 97818. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Bergstrom, Matthew Jay can be contacted via phone (541) 481-2911.

Contact Information

Primary practice address
101 N.W. Boardman Ave. Boardman OR 97818
Phone: (541) 481-2911
Fax: (541) 481-2006
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1427066828
LBN Legal business name Bergstrom, Matthew Jay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jul 8th, 2007 - about 17 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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