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Contact Information

LINDA R BERTRAM, OD
1990 HOSPITAL DRIVE
SUITE 110
SEDRO-WOOLLEY, WA98284
 Phone: 360-854-2750
 Fax: 360-854-2755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for LINDA R BERTRAM · (Female)

NPI Number 1528039559
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/28/2006
Last updated 06/13/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • WA License # OD00003471
  • WA Medicaid 1528039559
  • WA Other 263647 LABOR & INDUSTRIES
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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