Timothy Bergquist

NPI #1518343284 in Tigard, Oregon

Provider Information

NPI Number: 1518343284
Entity Type: Individual
Name: Timothy Bergquist
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 5, 2015
Last Updated: Aug 5, 2015

Practice Location

Address: 8915 SW CENTER ST
City: Tigard
State: Oregon
ZIP Code: 97223-6307
Phone: (503) 762-3740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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