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1144670258
SALLY BLOOMSTROM
BEAVERTON, OR
NPI
1144670258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2016-06-20
Last Update Date
2016-06-20
Business Address
-- SALLY BLOOMSTROM
14025 SW FARMINGTON RD
BEAVERTON, OR 97005-2512
Phone number: 971-330-9228
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Mailing Address
-- SALLY BLOOMSTROM
11495 SW CARDINAL TER
BEAVERTON, OR 97008-5958
Phone number: 971-260-7146
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