KENDRE BERGER MSW QMHP NPI 1659936318

NPI Information

NPI: 1659936318
Provider Name: KENDRE BERGER, MSW, QMHP
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1823 NE 8TH AVE
PORTLAND, OR
ZIP 97212
Phone: (503) 460-2796
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Kendre Berger, MSW, QMHP is a mental health counselor in Portland, OR. Kendre Berger, MSW, QMHP NPI is 1659936318. 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:

1823 NE 8TH AVE
PORTLAND, OR
ZIP 97212-907
Phone: (503) 460-2796

The enumeration date for this NPI number is 5/7/2019 and was last updated on 5/7/2019.

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
1	101YM0800X	Counselor	Mental Health			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	1881728087	MEDICAID	OREGON

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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