Bloom, Christine Marie
Bloom, Christine Marie is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Suite 317, Portland OR 97225-6625. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Bloom, Christine Marie can be contacted via phone (503) 216-1150.Contact Information
Primary practice address
9155 Sw Barnes Rd Suite 317
Portland OR 97225-6625
Phone: (503) 216-1150
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 83038759 | Oregon |
Profile Details
| NPI number | 1417083726 |
|---|---|
| LBN Legal business name | Bloom, Christine Marie |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Jan 13th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417083726 | NPPES |
| Oregon | MEDICAID | 150653 |
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