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Individual

MARY PAT BERGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
32901 WEYERHAEUSER WAY S, FEDERAL WAY, WA 98001-9348
(253) 924-2833
Mailing address
6021 39TH AVE SW, SEATTLE, WA 98136-1601
(253) 952-0304

Taxonomy

Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
Primary
RN00102745
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN00102745
RN
WA
Enumeration date
06/12/2018
Last updated
06/16/2018
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