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Mathew Bergendahl
NPI 1043946817 · on the registry since 2022 · sole proprietor
Practice
- Address
- 5419 Courtney St Se
Olympia, WA 98513 - Phone
- (360) 451-0611
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- SD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington