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OLIVIA ROSE BLUME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2426 N MERRITT CREEK LOOP STE A, COEUR D ALENE, ID 83814-4961
(208) 819-2183
(208) 209-6063
Mailing address
1296 E HOFFMAN AVE, COEUR D ALENE, ID 83815-7324
(520) 999-1598

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4441
AZ
363A00000X
Physician Assistant
Primary
7971040
ID
363A00000X
Physician Assistant
PA61659218
WA

Other

Enumeration date
02/21/2010
Last updated
09/02/2025
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