Organization
BLOOM PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAIGE VAZQUEZ PHD (MEMBER/OWNER)
(503) 858-5723
Entity
Organization
Contact information
Practice address
1325 E PALOMINO CT, NEWBERG, OR 97132-1171
(503) 858-5723
Mailing address
1325 E PALOMINO CT, NEWBERG, OR 97132-1171
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
10/05/2025
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