Bloom, Ava

Bloom, Ava is an individual health care provider with primary practice located at 3651 Se 33Rd Ave , Portland OR 97202-3025. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Bloom, Ava can be contacted via phone (208) 284-9655.

Contact Information

Primary practice address
3651 Se 33Rd Ave Portland OR 97202-3025
Phone: (208) 284-9655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1730829250
LBN Legal business name Bloom, Ava
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2022
Last updated Mar 31st, 2022 - about 3 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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