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1114792520
MARK L BERGAL
BEAVERTON, OR
NPI
1114792520
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: CO LPCC.0020642)
Enumeration Date
2023-11-16
Last Update Date
2023-11-17
Business Address
MARK L BERGAL
5655 SW ALGER AVE
BEAVERTON, OR 97005-4076
Phone number: 503-705-1850
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Mailing Address
MARK L BERGAL
PO BOX 591
NEWBERG, OR 97132-0591
Phone number:
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