Organization
BLOOM NATURAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOLLY HAYMAN O'NEILL (OWNER)
(503) 223-2741
Entity
Organization
Contact information
Practice address
125 NE KILLINGSWORTH ST STE 101, PORTLAND, OR 97211-2664
(503) 223-3741
Mailing address
125 NE KILLINGSWORTH ST STE 101, PORTLAND, OR 97211-2664
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC01051
OR
175F00000X
Naturopath
Primary
1526
OR
Other
Enumeration date
05/18/2011
Last updated
05/23/2011
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