IndividualActive
Matthew Bergstrom
NPI 1427066828 · Professional Counselor · Boardman, OR
Provider details
- NPI number
- 1427066828
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
101 N.w. Boardman Ave.
Boardman, OR 97818
Phone: (541) 481-2911
Fax: (541) 481-2006
Approximate (ZIP-level) locationGet directions
Mailing address
32922 Johnston Ln
Hermiston, OR 97838-6315
Registry dates
- Enumerated
- 2006-08-03
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.