Blomberg, Adam A

Blomberg, Adam A is an individual health care provider with primary practice located at 4805 Ne Glisan Street Suite Bg05, Portland OR 97213-2933. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Blomberg, Adam A can be contacted via phone (503) 215-2392.

Contact Information

Primary practice address
4805 Ne Glisan Street Suite Bg05 Portland OR 97213-2933
Phone: (503) 215-2392
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD27617 Oregon
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD27617 Oregon

Profile Details

NPI number 1942491899
LBN Legal business name Blomberg, Adam A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2007
Last updated Feb 15th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942491899 NPPES
Oregon MEDICAID 272485

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