Jaclyn Lee Bloom in Milwaukie - Occupational Therapy Assistant
Jaclyn Lee Bloom - NPI 1932392867
Jaclyn Lee Bloom is a Occupational Therapy Assistant in Milwaukie, Oregon. Jaclyn Lee Bloom practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Jaclyn Lee Bloom is 1932392867. The last update date is 2007-08-23.
Jaclyn Lee Bloom's current location address is 4560 Se International Way, Milwaukie, Oregon. You can contact this provider via phone number 9712065149 and fax number 9712065209. The mailing address for Jaclyn Lee Bloom is 4560 Se International Way, Milwaukie, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaclyn Lee Bloom |
|---|---|
| Address | 4560 Se International Way, Milwaukie, Oregon |
| Phone Number | 9712065149 |
| Fax Number | 9712065209 |
| Sole Proprietor | N |
| Credentials | COTA |
NPI Number Detail
| NPI Number | 1932392867 |
|---|---|
| Provider Enumeration Date | 2007-08-23 |
| Last Updated Date | 2007-08-23 |
Provider Mailing Address Detail
| Address | 4560 Se International Way |
|---|---|
| City | Milwaukie |
| State | Oregon (OR) |
| Post Code | 97222 |
| Phone Number | 9712065149 |
| Fax Number | 9712065209 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | 55 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jaclyn Lee Bloom?
The Jaclyn Lee Bloom has been issued the NPI (National Provider Identifier) 1932392867 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jaclyn Lee Bloom's physical address?
The Jaclyn Lee Bloom is physically located at 4560 Se International Way, in the city of Milwaukie, OR, with the postal code 97222.
What is Jaclyn Lee Bloom's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jaclyn Lee Bloom's specialized field of practice is Occupational Therapy Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 224Z00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932392867 to Jaclyn Lee Bloom?
The Centers for Medicare & Medicaid Services assigned the 1932392867 to Jaclyn Lee Bloom on 2007-08-23.
As of what date was the information regarding Jaclyn Lee Bloom, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jaclyn Lee Bloom, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-08-23.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY