Bergstrom, Heather

Bergstrom, Heather is an individual health care provider with primary practice located at 702 Sunset Dr , Ontario OR 97914-3121. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bergstrom, Heather can be contacted via phone (541) 889-9167.

Contact Information

Primary practice address
702 Sunset Dr Ontario OR 97914-3121
Phone: (541) 889-9167
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L2002 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-893 Idaho

Profile Details

NPI number 1942626171
LBN Legal business name Bergstrom, Heather
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2014
Last updated Mar 12th, 2014 - about 12 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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