Individual provider · Type 1 NPI

Phil Bergland, LPC

Mental Health Counselor · Portland, OR

NPI number 1174908321 Active

Practice location

11220 SE Stark St, Suite 6
Portland, OR 97216

Call (503) 908-4681 Map

Mailing address

15114 NE 5th St
Vancouver, WA 98684-8108

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC3611 (OR)
Professional Counselor 101YP2500XLH60618681 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1174908321

Phil Bergland, LPC's National Provider Identifier is 1174908321, issued on Jul 29, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 2, 2016.