Individual
AVANTI BERGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(206) 948-0096
Mailing address
PO BOX 2050, RENTON, WA 98056-0050
(425) 765-2012
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
M-17501
ID
2084P0800X
Psychiatry Physician
Primary
MD60108169
WA
2084P0804X
Child & Adolescent Psychiatry Physician
MD60108169
WA
Other
Enumeration date
08/08/2007
Last updated
07/22/2025
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