Bergeron, Toni R

Bergeron, Toni R is an individual health care provider with primary practice located at 1300 John Adams St Suite 103, Oregon City OR 97045-1695. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Bergeron, Toni R can be contacted via phone (503) 841-8458.

Contact Information

Primary practice address
1300 John Adams St Suite 103 Oregon City OR 97045-1695
Phone: (503) 841-8458
Fax: (503) 650-1970
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C2297 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 07-06-65 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP00005704 Washington

Profile Details

NPI number 1194884460
LBN Legal business name Bergeron, Toni R
Credentials LPC, CADC III, CDP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Dec 7th, 2016 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1194884460 NPPES
Other 1194884460 NATIONAL PROVIDER IDENTIFICATION NUMBER

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