Individual
AMY K. BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4455 CORDATA PKWY, BELLINGHAM, WA 98226-8037
(360) 671-3225
(360) 671-0000
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61260721
WA
133VN1004X
Pediatric Nutrition Registered Dietitian
DI61260721
WA
171M00000X
Case Manager/Care Coordinator
DI61260721
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2215188
—
WA
Enumeration date
08/02/2022
Last updated
03/12/2026
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