Individual provider · Type 1 NPI
Mark L. Bergal
Professional Counselor · Beaverton, OR
NPI number
1114792520
Active
Practice location
5655 SW Alger Ave
Beaverton, OR 97005-4076
Mailing address
PO Box 591
Newberg, OR 97132-0591
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LPCC.0020642 (CO) |
Professional Counselor: Definition to come...
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About NPI 1114792520
Mark L. Bergal's National Provider Identifier is 1114792520, issued on Nov 16, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Beaverton, OR. The record was last updated on Nov 17, 2023.