JOSEPH DAVID BLOOM

PORTLAND, OR
NPI1548390776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OR  MD10455)
Enumeration Date2007-03-06
Last Update Date2007-07-08
Business Address
-- JOSEPH DAVID BLOOM M.D.
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-6176
Mailing Address
-- JOSEPH DAVID BLOOM M.D.
416 NW 13TH AVE APT 404
PORTLAND, OR 97209-2938
Phone number: 503-973-5156
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