Individual
BEV-LORRAINE BERGMAN TRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12401 E MARGINAL WAY S, TUKWILA, WA 98168-2558
(800) 337-3197
(206) 901-2269
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00030256
WA
207Q00000X
Family Medicine Physician
MD00030256
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8196495
—
WA
Enumeration date
01/29/2007
Last updated
05/09/2008
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