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General NPI Number Information
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NPI Number | 1013053107
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Entity Type | Individual
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Provider Name | BEV-LORRAINE BERGMAN TRUE M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 05/09/2008
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Provider Practice Location Address
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Address Line | 12401 E MARGINAL WAY S
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City | TUKWILA
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State | WA
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Zip | 98168-2558
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Country | US
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Telephone | 800-337-3197
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Fax | 206-901-2269
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Provider Business Mailing Address
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Address Line | PO BOX 34584
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City | SEATTLE
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State | WA
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Zip | 98124-1584
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Country | US
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Telephone | 509-241-7349
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Fax | 509-241-7628
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD00030256
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00030256
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License Number State | WA
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