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Contact Information

SAMANTHA BERGSTROM, FNP-BC
31833 GATEWAY CENTER BLVD S
FEDERAL WAY, WA98003-5616
 Phone: 253-214-1920
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SAMANTHA BERGSTROM · (Female)

NPI # 1093671877
Status Active
Credentials FNP-BC (Family Nurse Practitioner)
Entity Individual
Enumeration date 12/24/2025
Last updated 12/24/2025 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • WA License # AP70080916
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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