Individual
MS. CARA J ROSS BERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
110 LAKESIDE AVE, SUITE I, SEATTLE, WA 98122-6594
(206) 322-5118
(206) 322-5104
Mailing address
5300 47TH AVE S, SEATTLE, WA 98118-2319
(206) 322-5118
(206) 322-5104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00002077
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5335RO
REGENCE BLUE SHIELD
WA
Enumeration date
02/06/2007
Last updated
07/08/2007
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