JENNIFER RUTH BERGQUAM LMP
NPI 1437395944
Specialist in Lake Stevens, WA

Active since January 05, 2009
9623 32ND ST SE, LAKE STEVENS, WA 98258(360) 834-6964 Get Directions Write a Review

NPPES record last updated: September 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Ruth Bergquam Lmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER RUTH BERGQUAM LMP (NPI 1437395944) is an individual specialist in Lake Stevens, Washington, licensed in Washington (60055734) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1437395944
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJENNIFER RUTH BERGQUAMCredential: LMP
Location Address9623 32ND ST SELake Stevens, WA 98258
Mailing Address8242 42nd St NeMarysville, WA 98270 · (360) 921-3358 · Fax (425) 320-4091
Sole ProprietorYes
Enumeration DateJanuary 5, 2009
Last NPPES UpdateSeptember 19, 2014
NPI 1437395944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in WA · 60055734
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9623 32ND ST SE, Lake Stevens, WA 98258

Other Names 1

Other Name (5)Mrs. Jennifer Ruth Koch Lmp

Accepted Insurance

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
9623 32ND ST SE
LAKE STEVENS, WA 98258
Counselor (Mental Health)
9623 32ND ST SE, STE A-109
LAKE STEVENS, WA 98258
Massage Therapist
9623 32ND ST SE
LAKE STEVENS, WA 98258
Massage Therapist
9623 32ND ST SE, HWY 9 OFFICE PARK BLDG D - SUITE 113
LAKE STEVENS, WA 98258
Massage Therapist
9623 32ND ST SE
LAKE STEVENS, WA 98258
Massage Therapist
9623 32ND ST SE, #102
LAKE STEVENS, WA 98258
Massage Therapist
9623 32ND ST SE
LAKE STEVENS, WA 98258
Counselor (Mental Health)
9623 32ND ST SE, BUILDIND D, STE 119
LAKE STEVENS, WA 98258

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Bergquam's NPI number?

The NPI number for Jennifer Bergquam is 1437395944. It was assigned to this individual provider in the NPPES registry on January 5, 2009. The provider is also known as Mrs. Jennifer Ruth Koch Lmp.

Where is Jennifer Bergquam located?

Jennifer Bergquam practices at 9623 32nd St SE, Lake Stevens, WA 98258. The listed phone number is (360) 834-6964.

What is Jennifer Bergquam's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Jennifer Bergquam accept?

Health plans from PacificSource Health Plans list Jennifer Bergquam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Bergquam was last updated on September 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.