Individual provider · Type 1 NPI

Sophia Catherine Bergum

Occupational Therapist · Medford, OR

NPI number 1912833195 Active

Practice location

1200 Mira Mar Ave
Medford, OR 97504-8546

Call (406) 459-8277 Map

Mailing address

828 W 13th St
Medford, OR 97501-3428

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X551891 (OR)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1912833195

Sophia Catherine Bergum's National Provider Identifier is 1912833195, issued on Jun 23, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Medford, OR. The record was last updated on Jun 23, 2026.