Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396309159 Individual Practitioner Female Practitioner

Laura Kay Bergstrom , CCC-SLP

Speech-Language Pathologist • Milwaukie, OR

Professional Overview & Biography Verified Profile Summary

Laura Bergstrom, CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Milwaukie, OR. Practice services are available at 4560 SE INTERNATIONAL WAY STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4560 Se International Way Ste 100

Milwaukie, OR 972224628

Telephone 5032674096
Associated Practice Facility / Clinic
🏢 Adams & Gray, Inc Facility NPI 1083611818

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Milwaukie, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
140 Specialists

Practicing in Milwaukie, OR (2106 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OR 11565

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State Slp License
11565 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Emily Mccoy

Physical Therapy Assistant

NPI 1003350315
Dr. Aviva Zigman , MD

General Practice

NPI 1013970060

Doctor of Medicine (M.D.)

Marla Stasik , NP

Nurse Practitioner - Adult Health

NPI 1023084621

Nurse Practitioner

Lacie Ferris , PTA

Physical Therapy Assistant

NPI 1023557592

Physical Therapist Assistant

Karen Bishop , COTA

Occupational Therapy Assistant

NPI 1033750294

Certified Occupational Therapy Assistant

Elyss Frisbee , CCC-SLP

Speech-Language Pathologist

NPI 1063980159

Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 26, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2019

Registered at 4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 972224628 (Tel: 5032674096)

📍
Updated Business Mailing Address April 26, 2019

Registered at 1333 10TH ST, WEST LINN, OR 970684626 (Tel: 5035834497)

👤
Provider Name / Credentials Updated April 26, 2019

Recorded as LAURA BERGSTROM, CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2019

Speech-Language Pathologist (License #11565 in OR)

🟢
Initial NPI Registration & Enumeration April 26, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396309159
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2019
Last Update: April 26, 2019
Sole Proprietor: No

Mailing Address

1333 10th St

West Linn, OR 970684626

Phone: 5035834497

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.