Bloomquist, Blake

Bloomquist, Blake is an individual health care provider with primary practice located at 503 Airport Rd Ste 101 , Medford OR 97504-4159. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Bloomquist, Blake can be contacted via phone (541) 200-2900.

Contact Information

Primary practice address
503 Airport Rd Ste 101 Medford OR 97504-4159
Phone: (541) 200-2900
Fax: (541) 200-2948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1932510583
LBN Legal business name Bloomquist, Blake
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2014
Last updated Oct 14th, 2021 - about 4 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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