Sara E Bergman, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC173854 Issued in OR

Practice address

723 NW 18TH Avenue
Portland, OR 97209-2315

Phone

(503) 791-4648

NPI assigned

Jan 2, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Heartwood Clinic

  • Clinic/Center
  • Portland, OR
  • NPI 1477919744
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1104282474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 NW 18TH AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092315",
            "telephone_number": "503-791-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 NW 18TH AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092315",
            "telephone_number": "503-791-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-02",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC173854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500706395",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate C Berglund, PA-C
• Kristen A Berglund, M.A., LPC
• Alice Bergman, LPC
• Alyson Nicole Bergman
• Megan Bergman, BS
• Alivia Bergmann
• Erika Lange Bergmann, RN
• Michele Jean Bergmann, RN
• Audrey Lee Bergsma, N.D.
• Bjorn Paul Bergstrom, PSY.D.

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.