Individual
DR. JEREMIA DOUGLAS BERNHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 MADISON ST, SUITE 100, SEATTLE, WA 98104-1316
(206) 386-6111
(206) 386-6113
Mailing address
15721 ASHWORTH AVE N, SHORELINE, WA 98133-5732
(571) 232-3130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ML20008810
WA
Other
Enumeration date
04/13/2007
Last updated
04/16/2021
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