Individual provider · Type 1 NPI

Jade Bergez, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1174038277 Active

Practice location

5228 NE Hoyt St Bldg B
Portland, OR 97213-3055

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice locations

  • 58646 Mcnulty Way, St. Helens, OR 97051-6210 · (503) 397-5211

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201708294RN (OR)
Nurse Practitioner 363L00000X201908638NP-PP (OR)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X201908638NP-PP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1174038277

Jade Bergez, PMHNP's National Provider Identifier is 1174038277, issued on Dec 12, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Jun 8, 2023.