Individual
MRS. TORI ANN BLOMQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, CCC-A
Contact information
Practice address
3857 WOLVERINE ST NE # 16C, SALEM, OR 97305-4270
(503) 588-1039
(503) 588-1468
Mailing address
3857 WOLVERINE ST NE # 16C, SALEM, OR 97305-4270
(503) 588-1039
(503) 588-1468
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
21155
OR
237600000X
Audiologist-Hearing Aid Fitter
Primary
21155
OR
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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