Individual
DR. ANNIKA MALMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 526-6635
(541) 526-6636
Mailing address
1608 S J ST, FLOOR 1, TACOMA, WA 98405-4930
(253) 274-7501
(253) 274-7991
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A114404
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60366132
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036823
—
WA
01
—
326439
STATE L&I
WA
Enumeration date
10/25/2010
Last updated
11/08/2024
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