Individual provider · Type 1 NPI

Emma Sophia Skadhauge Bloom, MD

Student in an Organized Health Care Education/Training Program · Seattle, WA

NPI number 1083468060 Active

Practice location

1959 NE Pacific Street Box 356421
Seattle, WA 98195-0001

Call (206) 543-3605 Map

Mailing address

27312 Shelburne Dr
Valencia, CA 91354-2133

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 1083468060

Emma Sophia Skadhauge Bloom, MD's National Provider Identifier is 1083468060, issued on Apr 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Seattle, WA. The record was last updated on Apr 15, 2024.