Blomberg, John

Blomberg, John is an individual health care provider with primary practice located at 9750 Ne Glisan St , Portland OR 97220-4449. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Blomberg, John can be contacted via phone (503) 256-3920.

Contact Information

Primary practice address
9750 Ne Glisan St Portland OR 97220-4449
Phone: (503) 256-3920
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X P1 60569439 Washington

Profile Details

NPI number 1043682289
LBN Legal business name Blomberg, John
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2015
Last updated Oct 27th, 2015 - about 10 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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