Sally Bloomstrom

NPI #1144670258 in Beaverton, Oregon

Provider Information

NPI Number
1144670258
Entity Type
Individual
Name
Sally Bloomstrom
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Jun 20, 2016
Last Updated
Jun 20, 2016

Practice Location

Address
14025 SW FARMINGTON RD
State
Oregon
ZIP Code
97005-2512
Phone
(971) 330-9228

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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