Provider Demographics
NPI:1295009595
Name:BERGQUIST, CINDY
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:BERGQUIST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17401 SE 39TH ST
Mailing Address - Street 2:205
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-9408
Mailing Address - Country:US
Mailing Address - Phone:360-600-7294
Mailing Address - Fax:
Practice Address - Street 1:17401 SE 39TH ST
Practice Address - Street 2:205
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-9408
Practice Address - Country:US
Practice Address - Phone:360-600-7294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-05
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60313541611246YC3302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office Based