DR. MAGGIE BLOOM (NPI# 1538425475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538425475 |
| Entity Type | Individual |
| Full Name | DR. MAGGIE BLOOM |
| Credential | PH.D. |
| Practice Address |
3024 Ne 63rd Ave Portland OR 97213-4510 |
| Practice Telephone | 9712071395 |
| Mailing Telephone | 9712071395 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2013-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers |
| Street Address |
3024 NE 63RD AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275587917 | Kimberly E. Dornan | Acupuncturist | 3024 Ne 63rd Ave, Portland, OR 97213-4510 | 2006-05-19 |
| 1407489503 | Anna Christine Jaquith | Acupuncturist | 3024 Ne 63rd Ave, Portland, OR 97213-4510 | 2020-02-17 |
| 1356864417 | Bich Thu Tran | Acupuncturist | 3024 Ne 63rd Ave, Portland, OR 97213-4510 | 2017-07-20 |
| 1295287415 | Talisman Acupuncture LLC | Clinic/Center | 3024 Ne 63rd Ave, Portland, OR 97213-4510 | 2016-11-04 |
| 1659745750 | Allyson Abraham Lac LLC | Acupuncturist | 3024 Ne 63rd Ave, Portland, OR 97213-4510 | 2015-11-30 |
| 1891167045 | Allyson Abraham | Acupuncturist | 3024 Ne 63rd Ave, Portland, OR 97213-4510 | 2015-10-28 |
| 1215328984 | Julia Walls | Acupuncturist | 3024 Ne 63rd Ave, Portland, OR 97213-4510 | 2015-02-16 |
| 1346525995 | Kimberly Dornan Acupuncture, LLC | Acupuncturist | 3024 Ne 63rd Ave, Portland, OR 97213-4510 | 2011-10-14 |
| 1316138530 | Dana Lee Crawford | Specialist | 3024 Ne 63rd Ave, Portland, OR 97213-4510 | 2007-08-05 |
| 1043352289 | Roberta L Mihara | Psychologist | 3024 Ne 63rd Ave, Portland, OR 97213-4510 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 133NN1002X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Nutritionist |
| Specialization | Nutrition, Education |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487281895 | Robin Pulskamp | Nutritionist | 4516 Ne 41st Ave, Portland, OR 97211-8139 | 2020-03-25 |
| 1639545585 | Shawna Esparza | Nutritionist | 3837 Se Ogden St, Portland, OR 97202-7828 | 2015-08-14 |
| 1316345143 | Maria J Glad | Nutritionist | 278 Veranda St, Portland, ME 04103 | 2014-12-10 |
| 1306152004 | Emily Butler | Nutritionist | 1934 Nw 29th Ave, #7, Portland, OR 97210-2286 | 2010-08-19 |
| 1053563866 | Thrita Medical Center | Nutritionist | 7825 Sw 35th Ave, Portland, OR 97219-2463 | 2008-10-13 |
| 1235202607 | Pamlin Pegg | Nutritionist | 1017 Sw Morrison St Ste 404, Portland, OR 97205-2629 | 2006-11-15 |
| 1841739042 | Kelly Morgensen | Nutritionist | 9020 Sw Washington Square Rd, St 500, Portland, OR 97223-4491 | 2017-02-21 |
| 1588102461 | Amber Jeanne Henrickson | Nutritionist | 4235 Sw Corbett Ave, Portland, OR 97239-4203 | 2017-02-10 |
| 1336546738 | Chelsea Fyrberg | Nutritionist | 535 Ocean Ave, Portland, ME 04103-4973 | 2014-12-01 |
| 1306263959 | Julie Stahl | Nutritionist | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2014-03-20 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.