Bloomstrom, Sally
Bloomstrom, Sally is an sole proprietor health care provider with primary practice located at 14025 Sw Farmington Rd , Beaverton OR 97005-2512. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bloomstrom, Sally can be contacted via phone (971) 330-9228.Contact Information
Primary practice address
14025 Sw Farmington Rd
Beaverton OR 97005-2512
Phone: (971) 330-9228
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1144670258 |
|---|---|
| LBN Legal business name | Bloomstrom, Sally |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2016 |
| Last updated | Jun 20th, 2016 - 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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