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1457975955
SCOTT A BLOOM
WILSONVILLE, OR
NPI
1457975955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-06-01
Last Update Date
2020-06-01
Business Address
SCOTT A BLOOM
24499 SW GRAHAMS FERRY RD
WILSONVILLE, OR 97070-7523
Phone number: 503-570-6400
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Mailing Address
SCOTT A BLOOM
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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