DR. JACLYN MERRY BERGSTROM D.C NPI 1598715336

NPI Information

NPI: 1598715336
Provider Name: DR. JACLYN MERRY BERGSTROM, D.C
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
2900 NE 132ND AVE
PORTLAND, OR
ZIP 97230
Phone: (503) 255-6771
Get Directions

DR. Jaclyn Merry Bergstrom, D.C is a chiropractor in Portland, OR. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Jaclyn Merry Bergstrom, D.C NPI is 1598715336. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2900 NE 132ND AVE
PORTLAND, OR
ZIP 97230-014
Phone: (503) 255-6771
Fax: (503) 251-5794

The enumeration date for this NPI number is 5/11/2006 and was last updated on 11/8/2018.

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	License Number	License State	Primary
1	111N00000X	Chiropractor	705	NORTH DAKOTA	No
2	111N00000X	Chiropractor	4665	MINNESOTA	No
3	111N00000X	Chiropractor	5133	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	044057400	MEDICAID	MINNESOTA

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: 11/14/2023

NPI Synchronization or Removal

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