Individual
KELSEY BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 571-3504
Mailing address
5717 NE 138TH AVE, PORTLAND, OR 97230-3409
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0015989
OR
Other
Enumeration date
08/14/2018
Last updated
07/15/2025
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