Individual
MADISON BLOOMSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 PROSPECT AVE, HOOD RIVER, OR 97031-2161
(541) 399-6232
Mailing address
415 PROSPECT AVE, HOOD RIVER, OR 97031-2161
(541) 399-6232
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R12366
OR
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
07/14/2026
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