Heather Bergstrom, LCSW

NPI #1942626171 in Ontario, Oregon

Provider Information

NPI Number: 1942626171
Entity Type: Individual
Name: Heather Bergstrom, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Mar 12, 2014
Last Updated: Mar 12, 2014

Practice Location

Address: 702 SUNSET DR
City: Ontario
State: Oregon
ZIP Code: 97914-3121
Phone: (541) 889-9167

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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