JADE BERGEZ PMHNP NPI 1174038277

NPI Information

  • NPI: 1174038277
  • Provider Name: JADE BERGEZ, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5228 NE HOYT ST BLDG B
    PORTLAND, OR
    ZIP 97213
  • Phone: (503) 215-4860

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NPI Details

Jade Bergez, PMHNP is a psychiatric/mental health nurse practitioner in Portland, OR with 7 years of experience. Jade Bergez, PMHNP NPI is 1174038277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

5228 NE HOYT ST BLDG B
PORTLAND, OR
ZIP 97213-055
Phone: (503) 215-4860

The NPI 1174038277 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/12/2017 and was last updated on 6/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse201708294RNOREGONNo
2363L00000XNurse Practitioner201908638NP-PPOREGONNo
3363LP0808XNurse PractitionerPsychiatric/Mental Health201908638NP-PPOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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