| Heather Bergstrom, LCSW | |
|
702 Sunset Dr, Ontario, OR 97914-3121 | |
| (541) 889-9167 | |
| Not Available |
| Full Name | Heather Bergstrom |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 36 Years |
| Location | 702 Sunset Dr, Ontario, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942626171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L2002 (Oregon) | Primary |
| 1041C0700X | Social Worker - Clinical | LCSW-893 (Idaho) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adams County Health Center Inc | 1557453446 | 7 |
| Entity Name | Valley Family Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407886484 PECOS PAC ID: 0547169591 Enrollment ID: O20040108000205 |
| Entity Name | Adams County Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710915897 PECOS PAC ID: 1557453446 Enrollment ID: O20070823000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather Bergstrom, LCSW 702 Sunset Dr, Ontario, OR 97914-3121 Ph: (541) 889-9167 | Heather Bergstrom, LCSW 702 Sunset Dr, Ontario, OR 97914-3121 Ph: (541) 889-9167 |
Genelle Jo Mackey, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 685 N Oregon St, Ontario, OR 97914 Phone: 541-889-2219 | |
Mrs. Janae Maughan Stroops, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1219 Sw 4th Ave, Ontario, OR 97914 Phone: 208-741-3336 | |
Timothy L Koberlein, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
Sarah Andrade, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
J. Harrison Whitcomb, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 | |
Ron Vanausdal, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
Ms. Janette Lynn Pennington, CSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1219 Sw 4th Ave, Ontario, OR 97914 Phone: 541-889-2668 |