Individual
LAURA LEE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
1404 NE 134TH ST STE 180C, VANCOUVER, WA 98685-2799
(360) 450-5778
(833) 992-2065
Mailing address
7610 NE 142ND AVE, VANCOUVER, WA 98682-4213
(602) 501-5491
(833) 992-2066
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
17-1681
AZ
175F00000X
Naturopath
Primary
61015964
WA
175L00000X
Homeopath
4397
OR
Other
Enumeration date
01/11/2018
Last updated
10/13/2021
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