| Bloom Psychotherapy Llc | |
|
2330 Nw Flanders St Ste 107 Portland OR 97210-3400 | |
| (917) 727-0825 | |
| Not Available |
| Full Name | Bloom Psychotherapy Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2330 Nw Flanders St Ste 107, Portland, Oregon |
| Authorized Official Name and Position | Elisabeth P Bloom (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9177270825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloom Psychotherapy Llc 2330 Nw Flanders St Ste 107 Portland OR 97210-3400 Ph: (917) 727-0825 | Bloom Psychotherapy Llc 2330 Nw Flanders St Ste 107 Portland OR 97210-3400 Ph: (917) 727-0825 |
| NPI Number | 1891304986 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891304986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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