Bloom, Juanita

Bloom, Juanita is an sole proprietor health care provider with primary practice located at 207 E Heintz St , Molalla OR 97038-7324. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bloom, Juanita can be contacted via phone (503) 960-6920.

Contact Information

Primary practice address
207 E Heintz St Molalla OR 97038-7324
Phone: (503) 960-6920
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 20230 Oregon

Profile Details

NPI number 1700241197
LBN Legal business name Bloom, Juanita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2015
Last updated Dec 29th, 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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