Provider Demographics
NPI:1891005807
Name:BERGMAN SIMMERING, BONNIE J
Entity Type:Individual
Prefix:MRS
First Name:BONNIE
Middle Name:J
Last Name:BERGMAN SIMMERING
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 1:20722 SW NAPLES CT
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-2160
Mailing Address - Country:US
Mailing Address - Phone:503-848-6313
Mailing Address - Fax:
Practice Address - Street 1:20722 SW NAPLES CT
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97007-2160
Practice Address - Country:US
Practice Address - Phone:503-848-6313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-12
Last Update Date:2010-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula