Search › Washington › 207R00000X
Jake Bergstrom, MD
NPI 1134289051 · on the registry since 2006
Practice
- Address
- 17500 Se 392nd St
Auburn, WA 98092 - Phone
- (253) 939-6648
- Organisation at this address
- Muckleshoot Indian Tribe
Muckleshoot Indian Tribe
Muckleshoot Health And Wellness Center PharmacyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 41
Additional practice sites
- 21 Niederman Road, Oakville, WA
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-07
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