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Organization
BLOOM HEALTH AND WELLNESS PROMOTION
Active
Organization
BLOOM HEALTH AND WELLNESS PROMOTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA FAHLSTROM-NOPP MS, RD, LD (OWNER)
(541) 337-3437
Entity
Organization
Contact information
Practice address
296 E 5TH AVE STE 321, EUGENE, OR 97401-2771
(541) 337-3437
(541) 833-0675
Mailing address
PO BOX 7794, SPRINGFIELD, OR 97475-0030
(541) 337-3437
(541) 833-0675
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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