PHIL BERGLAND LPC NPI 1174908321

NPI Information

  • NPI: 1174908321
  • Provider Name: PHIL BERGLAND, LPC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 11220 SE STARK ST
    SUITE 6
    PORTLAND, OR
    ZIP 97216
  • Phone: (503) 908-4681

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NPI Details

Phil Bergland, LPC is a mental health counselor in Portland, OR. Phil Bergland, LPC NPI is 1174908321. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11220 SE STARK ST
SUITE 6
PORTLAND, OR
ZIP 97216
Phone: (503) 908-4681

The enumeration date for this NPI number is 7/29/2015 and was last updated on 9/2/2016.

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
1101YP2500XCounselorProfessionalLH60618681WASHINGTONNo
2101YM0800XCounselorMental HealthC3611OREGONYes

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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