Individual
LINDA R BERTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1990 HOSPITAL DRIVE, SUITE 110, SEDRO WOOLLEY, WA 98284
(360) 854-2750
(360) 854-2755
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003471
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528039559
—
WA
01
—
263647
LABOR & INDUSTRIES
WA
Enumeration date
01/28/2006
Last updated
06/13/2012
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