Search › North Dakota › Other Technician
Jaxon Bergum
NPI 1003574971 · on the registry since 2021
Practice
- Address
- 930 N 3rd St
Grand Forks, ND 58203 - Phone
- (701) 795-9143
- Organisation at this address
- Prairie Harvest Mental Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 24
Registry record
- Primary taxonomy
- Other Technician
247200000X
- Sex
- Male
- Record last updated
- 2021-12-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota