| Full Bloom Natural Medicine | |
|
922 Nw Circle Blvd Ste 180 Corvallis OR 97330-1483 | |
| (541) 224-6738 | |
| Not Available |
| Full Name | Full Bloom Natural Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 922 Nw Circle Blvd Ste 180, Corvallis, Oregon |
| Authorized Official Name and Position | Mary Boucher (DR.) |
| Authorized Official Contact | 5412246738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Bloom Natural Medicine 922 Nw Circle Blvd Ste 180 Corvallis OR 97330-1483 Ph: (541) 224-6738 | Full Bloom Natural Medicine 922 Nw Circle Blvd Ste 180 Corvallis OR 97330-1483 Ph: (541) 224-6738 |
| NPI Number | 1871153585 |
|---|---|
| Provider Enumeration Date | 06/14/2019 |
| Last Update Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871153585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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