Individual
SARAH DALTON BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2101 NE 139TH ST STE 285, VANCOUVER, WA 98686-2326
(360) 839-4532
(360) 639-8432
Mailing address
13311 NE 9TH CT, VANCOUVER, WA 98685-2633
(360) 513-8089
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60816459
WA
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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