Individual
DOUGLAS RENDEL BERGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
12901 SE KENT KANGLEY RD, KENT, WA 98030-7939
(253) 630-1575
Mailing address
6502 36TH ST W, UNIVERSITY PLACE, WA 98466-5810
(253) 565-2878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00002946
WA
Other
Enumeration date
05/09/2006
Last updated
09/26/2011
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