Active NPIIndividual provider

Dr. Alex Bloom, PSYD

Psychologist, Clinical in Beaverton, Oregon

NPI Number1124357306
Practice location
8285 SW Nimbus Ave Ste 130, Beaverton, OR 97008-6428
Fax
503-296-2102
Last updated
May 20, 2022

Alex Bloom is a Psychologist, Clinical based in Beaverton, OR. Alex Bloom practices in Beaverton, OR and has the professional credentials of PSYD. The NPI Number for Alex Bloom is 1124357306 and holds a License No. 2330 (OR). The current practice location address for Alex Bloom is 8285 SW Nimbus Ave Ste 130, Beaverton, OR 97008-6428 and can be reached out via phone at 503-610-2044 and via fax at 503-296-2102.

Provider Profile Details

NPI Number
1124357306
Provider Name
Alex Bloom
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
8285 SW Nimbus Ave Ste 130, Beaverton, OR 97008-6428
Phone Number
503-610-2044
Fax Number
503-296-2102
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
No
Provider Enumeration Date
December 16, 2009
Last Update Date
May 20, 2022
Certification Date
May 20, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
8285 SW Nimbus Ave Ste 130
Beaverton, OR 97008-6428
State
Oregon
Zip
97008-6428
Phone Number
503-610-2044
Fax Number
503-296-2102
Beaverton, OR 97008Get directions →

Provider Business Mailing Address Details

Address
399 E 10TH Ave
Eugene, OR 97401-3380
City
Eugene
State
OR
Zip
97401-3380
Phone Number
541-868-2004
Fax Number
541-868-2003

License Information

License Number
2330
License State
OR
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Alex Bloom, PSYD?

The NPI number of Dr. Alex Bloom, PSYD is 1124357306. It was assigned on December 16, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Alex Bloom, PSYD?

Dr. Alex Bloom, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in OR under license number 2330.

Where does Dr. Alex Bloom, PSYD practice?

The practice location is 8285 SW Nimbus Ave Ste 130, Beaverton, OR 97008-6428. The office can be reached at 503-610-2044 (phone) or 503-296-2102 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124357306 directly on the NPPES registry website.

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