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Bradley Borgkvist, SRNA
Student in an Organized Health Care Education/Training Program in Tacoma, Washington
NPI 1487100335

Bradley Borgkvist is a Student in an Organized Health Care Education/Training Program based in Jbsa Ft Sam Houston, WA. Bradley Borgkvist practices in Tacoma, WA and has the professional credentials of SRNA. The NPI Number for Bradley Borgkvist is 1487100335 and holds a License No. 768950 (Washington).

The current practice location address for Bradley Borgkvist is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 910-286-7128.

Location: 9040 Jackson Ave, Tacoma, WA, 78234-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487100335
Provider Name
Bradley Borgkvist
Credential
SRNA
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Ave, Tacoma, WA, 78234-4504
Phone Number
910-286-7128
Fax Number
Provider Enumeration Date
08/31/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
Tacoma
State
Washington
Zip
98431-4504
Phone Number
910-286-7128
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
Tacoma
State
Washington
Zip
98431-4504
Phone Number
910-286-7128
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
768950 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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