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1023684024
BLOOM PSYCHIATRIC, LLC
VANCOUVER, WA
NPI
1023684024
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Entity Type
Organization
Authorized Contact
TIFFANY TERRY
Owner
971-813-9093
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2021-06-01
Last Update Date
2021-06-01
Business Address
BLOOM PSYCHIATRIC, LLC
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662-6857
Phone number: 971-813-9093
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Mailing Address
BLOOM PSYCHIATRIC, LLC
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662-6857
Phone number: 971-813-9093
Copy
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