Active NPIIndividual providerSole proprietor

Jordyn L Bloom, LPN

Licensed Practical Nurse in Eugene, Oregon

NPI Number1639412265
Practice location
3438 Riverplace Dr, Eugene, OR 97401-1585
Fax
—
Last updated
April 2, 2013

Jordyn L Bloom, LPN is a Licensed Practical Nurse based in Eugene, OR. Jordyn L Bloom, LPN holds the professional credentials of LPN. The NPI number for Jordyn L Bloom, LPN is 1639412265 and holds license No. 201330076LPN (OR). The current practice location address is 3438 Riverplace Dr, Eugene, OR 97401-1585 and the office can be reached by phone at 541-556-4674. The NPI was assigned on April 2, 2013 and the record was last updated in NPPES on April 2, 2013.

●Provider Profile Details

NPI Number
1639412265
Provider Name
Jordyn Lynn Bloom
Credential
LPN
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Licensed Practical Nurse · 164W00000X
Sole Proprietor
Yes
Enumeration Date
April 2, 2013
Last Update Date
April 2, 2013
NPI Status
Active

◉Business Practice Location Address

Address
3438 Riverplace Dr
Eugene, OR 97401-1585
City
Eugene
State
Oregon
ZIP
97401-1585
Country
US
Phone Number
541-556-4674

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✉Business Mailing Address

Address
3438 Riverplace Dr
Eugene, OR 97401-1585
City
Eugene
State
OR
ZIP
97401-1585
Phone Number
541-556-4674

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Licensed Practical Nurse164W00000XYes201330076LPNOR

#Other Provider Identifiers

No legacy or other 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 Jordyn L Bloom, LPN?

The NPI number of Jordyn L Bloom, LPN is 1639412265. It was assigned on April 2, 2013 and is currently active in the NPPES registry.

What is the specialty of Jordyn L Bloom, LPN?

Jordyn L Bloom, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X) and holds license No. 201330076LPN (OR).

Where does Jordyn L Bloom, LPN practice?

The practice location is 3438 Riverplace Dr, Eugene, OR 97401-1585. The office can be reached at 541-556-4674 (phone).

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 1639412265 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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