Organization
REVIVE INJURY AND WELLNESS, PC
Active
Other names
Vermillion & Bloom, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN DANIELLE BLOOM DC (PRESIDENT)
(503) 344-4378
Entity
Organization
Contact information
Practice address
1750 BLANKENSHIP RD, STE 295, WEST LINN, OR 97068-5101
(503) 344-4378
(503) 334-3604
Mailing address
1750 BLANKENSHIP RD, SUITE 295, WEST LINN, OR 97068
(503) 344-4378
(503) 305-6782
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3663
OR
111N00000X
Chiropractor
4107
OR
Other
Enumeration date
07/01/2011
Last updated
06/02/2015
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