Bloom, Tammy Lee
Bloom, Tammy Lee is an individual health care provider with primary practice located at 2525 Ne 139Th St Ste 220 , Vancouver WA 98686-2719. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Bloom, Tammy Lee can be contacted via phone (360) 397-4437.Contact Information
Primary practice address
2525 Ne 139Th St Ste 220
Vancouver WA 98686-2719
Phone: (360) 397-4437
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 37480-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD60525316 | Washington |
Profile Details
| NPI number | 1164482949 |
|---|---|
| LBN Legal business name | Bloom, Tammy Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Apr 4th, 2023 - about last year |
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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