Provider Demographics
NPI:1326926957
Name:RODRIGUEZ RODRIGUEZ, BERTHA (CD)
Entity type:Individual
Prefix:
First Name:BERTHA
Middle Name:
Last Name:RODRIGUEZ RODRIGUEZ
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:BERTHA
Other - Middle Name:
Other - Last Name:RODRIGUEZ RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PCD
Mailing Address - Street 1:5720 122ND AVE SE APT 171
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-3834
Mailing Address - Country:US
Mailing Address - Phone:425-240-0180
Mailing Address - Fax:
Practice Address - Street 1:5720 122ND AVE SE APT 171
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-3834
Practice Address - Country:US
Practice Address - Phone:425-240-0180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty