Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598715336 Individual Practitioner Female Practitioner

Dr. Jaclyn Merry Bergstrom , DC

Chiropractor • Portland, OR

Professional Overview & Biography Verified Profile Summary

Dr. Jaclyn Bergstrom, DC is a registered healthcare professional specializing in Chiropractor in Portland, OR. Practice services are available at 2900 NE 132ND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2900 Ne 132nd Ave

Portland, OR 972303014

Telephone 5032556771
Fax 5032515794
Associated Practice Facility / Clinic
🏢 University Of Western States Facility NPI 1053457325

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 22.2 Yrs
Regional Practice Density
594 Specialists

Practicing in Portland, OR (1950 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

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OR 5133

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License ND 705

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License MN 4665

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
044057400 (MN)

Practice Associates & Co-Workers

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

15 Associated Practitioners
NPI 1134534480

Doctor of Chiropractic

NPI 1285750570

Doctor of Chiropractic

NPI 1285871376

Doctor of Chiropractic

NPI 1295899656

Doctor of Chiropractic

NPI 1477994556

Doctor of Chiropractic

Dr. Adrienne Sciberras , DC

Chiropractor - Radiology

NPI 1548384563

Doctor of Chiropractic

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 08, 2018

Registered at 2900 NE 132ND AVE, PORTLAND, OR 972303014 (Tel: 5032556771)

📍
Updated Business Mailing Address November 08, 2018

Registered at 2900 NE 132ND AVE, PORTLAND, OR 972303014 (Tel: 5032556771)

NPI Profile Active May 04, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2015

Registered at 8810 SE SUNNYBROOK BLVD, STE. 100, CLACKAMAS, OR 970156804 (Tel: 5036072226)

📍
Updated Business Mailing Address May 04, 2015

Registered at 8810 SE SUNNYBROOK BLVD, STE. 100, CLACKAMAS, OR 970156804 (Tel: 5036072226)

👤
Provider Name / Credentials Updated May 04, 2015

Recorded as JACLYN BERGSTROM, D.C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2015

Chiropractor (License #5133 in OR)

🟢
Initial NPI Registration & Enumeration May 11, 2006

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: 1598715336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2006
Last Update: November 08, 2018
Sole Proprietor: No

Mailing Address

2900 Ne 132nd Ave

Portland, OR 972303014

Phone: 5032556771

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.