Individual
JASON R BERGLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
6050 TACOMA MALL BLVD STE 300, TACOMA, WA 98409-6828
(253) 851-5200
Mailing address
6050 TACOMA MALL BLVD STE 300, TACOMA, WA 98409-6828
(253) 851-5200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.002661
IL
2255A2300X
Athletic Trainer
36002146A
IN
2255A2300X
Athletic Trainer
Primary
A160590112
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090702258
BOARD OF CERTIFICATION, INC. (NATA)
—
01
—
096.002661
STATE OF ILLINOIS - DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
—
36002146A
INDIANA PROFESSIONAL LICENSING AGENCY ATHLETIC TRAINERS BOARD
IN
01
—
A160590112
WASHINGTON STATE DEPARTMENT OF HEALTH - ATHLETIC TRAINER LICENSE
WA
Enumeration date
11/14/2011
Last updated
08/13/2020
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