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1215996038
DAVID CHARLES BLOOM
VANCOUVER, WA
NPI
1215996038
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Y00000X Otolaryngology
(Licence: WA MD00042152)
Enumeration Date
2006-03-21
Last Update Date
2023-03-29
Business Address
Mr. DAVID CHARLES BLOOM MD
2621 NE 134TH ST STE 300
VANCOUVER, WA 98686-3036
Phone number: 360-882-2778
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Mailing Address
Mr. DAVID CHARLES BLOOM MD
PO BOX 4825
PORTLAND, OR 97208-4825
Phone number: 360-882-2778
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