Individual
MR. DAVID CHARLES BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2621 NE 134TH ST STE 300, VANCOUVER, WA 98686-3036
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00042152
WA
Other
Enumeration date
03/21/2006
Last updated
03/29/2023
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