Individual
CHRISTINA NG BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16811 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-3404
(360) 735-8100
(360) 253-1781
Mailing address
16811 SE MCGILLIVRAY BLVD, VANCOUVER, WA 98683-3404
(360) 735-8100
(360) 253-1781
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD160810
OR
207Q00000X
Family Medicine Physician
Primary
MD60087862
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213006
—
OR
01
—
P01238398
RR MEDICARE (PH&S)
OR
Enumeration date
08/22/2008
Last updated
01/13/2016
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