NPI 1013040849

Breanna K Bergeron, RD

Practitioner Registered Dietitian Spokane, WA

Practice location

Address: 212 E Central Ave STE. 440, Spokane, WA 99208-6291
Phone: (509) 252-9602
Fax: (509) 227-7070
Mailing address: PO Box 421, Liberty Lake, WA 99019-0421

Registered specialties (3)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DI60595970 (WA)

Other Dietitian, Registered providers in Washington →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 175 (AK)

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D-530 (ID)

Registry record

NPI: 1013040849
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2007
Record last updated: 24 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.