Individual
NICOLE BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 NE COLUMBIA RD, SEATTLE, WA 98195-0001
(206) 616-0152
Mailing address
PO BOX 357921 CHDD CD-205, SEATTLE, WA 98195-7921
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/07/2023
Last updated
09/18/2023
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