Bloom, Jaimee
Bloom, Jaimee is an sole proprietor health care provider with primary practice located at 1017 Sw Morrison St Ste 400 , Portland OR 97205-2629. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bloom, Jaimee can be contacted via phone (503) 224-3300.Contact Information
Primary practice address
1017 Sw Morrison St Ste 400
Portland OR 97205-2629
Phone: (503) 224-3300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | BAP-E-10152387 | Oregon |
Profile Details
| NPI number | 1386009959 |
|---|---|
| LBN Legal business name | Bloom, Jaimee |
| Credentials | CPE, LE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 2015 |
| Last updated | Dec 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386009959 | NPPES |
| Other | 1386009959 | NPI |
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