Individual provider · Type 1 NPI

Sally Bloomstrom

Professional Counselor · Beaverton, OR

NPI number 1144670258 Active

Practice location

14025 SW Farmington Rd
Beaverton, OR 97005-2512

Call (971) 330-9228 Map

Mailing address

11495 SW Cardinal Ter
Beaverton, OR 97008-5958

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1144670258

Sally Bloomstrom's National Provider Identifier is 1144670258, issued on Jun 20, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Beaverton, OR. The record was last updated on Jun 20, 2016.