Individual
EDEN VAN BLOEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 673-0611
Mailing address
163 W CARDINAL ST, ROSEBURG, OR 97471-2393
(541) 852-1340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201604931RN
OR
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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