| Jennifer Bergmans Ybarra | |
|
9620 Ne Tanasbourne Dr Ste 300-75 Hillsboro OR 97124-7843 | |
| (503) 481-3512 | |
| Not Available |
| Full Name | Jennifer Bergmans Ybarra |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9620 Ne Tanasbourne Dr Ste 300-75, Hillsboro, Oregon |
| Authorized Official Name and Position | Jennifer Bergmans Ybarra (OWNER) |
| Authorized Official Contact | 5034813512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Bergmans Ybarra 9620 Ne Tanasbourne Dr Ste 300-75 Hillsboro OR 97124-7843 Ph: (503) 481-3512 | Jennifer Bergmans Ybarra 9620 Ne Tanasbourne Dr Ste 300-75 Hillsboro OR 97124-7843 Ph: (503) 481-3512 |
| NPI Number | 1447742481 |
|---|---|
| Provider Enumeration Date | 06/05/2018 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447742481 | NPI | - | NPPES |
| 500740982 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L7599 (Oregon) | Primary |
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