Individual
NICOLE BOGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 108TH ST S, TACOMA, WA 98444-5604
(253) 754-3947
Mailing address
7610 40TH ST W STE 200, UNIVERSITY PLACE, WA 98466-3834
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
07/14/2025
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