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Individual

MS. CATHERINE ANN BLOOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1404 NE 58TH AVE, PORTLAND, OR 97213-3630
(503) 913-5273
(503) 914-0468
Mailing address
1404 NE 58TH AVE, PORTLAND, OR 97213-3630
(503) 913-5273
(503) 914-0468

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1006341
OR
225X00000X
Occupational Therapist
OT00002851
WA
225XE1200X
Ergonomics Occupational Therapist
1006341
OR
225XE1200X
Ergonomics Occupational Therapist
OT00002851
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500629360
OR
Enumeration date
05/09/2008
Last updated
03/03/2011
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