Individual
MS. BIRGIT KLAUDIA BERGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
7017 NE HIGHWAY 99 STE 114, VANCOUVER, WA 98665-0554
(360) 694-7484
(360) 694-7479
Mailing address
7017 NE HIGHWAY 99 STE 114, VANCOUVER, WA 98665-0554
(360) 694-7484
(360) 694-7479
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CP00003604
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP00003604
CHEMICAL DEPENDENCY PROFESSIONAL
WA
Enumeration date
06/03/2008
Last updated
06/03/2008
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