Individual
SAMANTHA BERGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
31833 GATEWAY CENTER BLVD S, FEDERAL WAY, WA 98003-5616
(253) 214-1920
Mailing address
22529 SE 187TH ST, MAPLE VALLEY, WA 98038-6313
(401) 965-9091
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP70080916
WA
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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