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NPI Verification

National Provider Identifier: 1164482949

Tammy Lee Bloom, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Urology

Code: 208800000X

Primary

Practice Address

PO BOX 4825

PORTLAND, OR 972084825

Phone: 360-397-4040

NPI Enumeration Date

March 24, 2006

NPI Number

1164482949

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry