Individual
DR. MAGGIE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3024 NE 63RD AVE, PORTLAND, OR 97213-4510
(971) 207-1395
Mailing address
3024 NE 63RD AVE, PORTLAND, OR 97213-4510
(971) 207-1395
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/04/2012
Last updated
02/26/2013
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