Individual provider · Type 1 NPI

Scott A. Bloom

Addiction (Substance Use Disorder) Counselor · Wilsonville, OR

NPI number 1457975955 Active

Practice location

24499 SW Grahams Ferry Rd
Wilsonville, OR 97070-7523

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1457975955

Scott A. Bloom's National Provider Identifier is 1457975955, issued on Jun 1, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wilsonville, OR. The record was last updated on Jun 1, 2020.