Individual provider · Type 1 NPI

Linnaeus Bloom

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1043131493 Active

Practice location

1730 SW Skyline Blvd Ste 109
Portland, OR 97221-2547

Call (971) 293-2326 Map

Mailing address

4611 NE 33rd Ave
Portland, OR 97211-7055

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043131493

Linnaeus Bloom's National Provider Identifier is 1043131493, issued on Jul 22, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Jul 22, 2026.