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Individual

LEAH BLOOMBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, RN, PMHNP-BC

Contact information

Practice address
5 CENTERPOINTE DR STE 400, LAKE OSWEGO, OR 97035-8661
(503) 994-1502
Mailing address
5 CENTERPOINTE DR STE 400, LAKE OSWEGO, OR 97035-8661
(503) 994-1502

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
163W00000X
Registered Nurse
201607796RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201807305NP-PP
OR

Other

Enumeration date
11/10/2016
Last updated
03/25/2023
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