JOHN BLOMBERG

PORTLAND, OR
NPI1043682289
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: WA  P1 60569439)
Enumeration Date2015-10-27
Last Update Date2015-10-27
Business Address
-- JOHN BLOMBERG PTA
9750 NE GLISAN ST
PORTLAND, OR 97220-4449
Phone number: 503-256-3920
Mailing Address
-- JOHN BLOMBERG PTA
11712 NW 38TH AVE
VANCOUVER, WA 98685-3550
Phone number:
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