- Practice location
- 408 NE Hawthorne Ave, Bend, OR 97701-4729
- Phone
- 541-617-8769
- Fax
- 541-668-6772
- Last updated
- November 5, 2018
Blossom Therapeutics, LLC is a healthcare organization based in Bend, OR. Blossom Therapeutics, LLC practices in Bend, OR. The NPI Number for Blossom Therapeutics, LLC is 1700354040. The current practice location address for Blossom Therapeutics, LLC is 408 NE Hawthorne Ave, Bend, OR 97701-4729 and can be reached out via phone at 541-617-8769 and via fax at 541-668-6772.
Provider Profile Details
- NPI Number
- 1700354040
- Provider Name
- Blossom Therapeutics, LLC
- Provider Entity Type
- Organization
- Address
- 408 NE Hawthorne Ave, Bend, OR 97701-4729
- Phone Number
- 541-617-8769
- Fax Number
- 541-668-6772
- Primary Taxonomy
- Occupational Therapist, Pediatrics · 225XP0200X
- Organization Subpart
- No
- Authorized Official
- Ms. Jennifer Clark Johnson, OTR/L · Therapist/Owner · 541-604-0548
- Provider Enumeration Date
- November 5, 2018
- Last Update Date
- November 5, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 408 NE Hawthorne Ave
Bend, OR 97701-4729 - City
- Bend
- State
- Oregon
- Zip
- 97701-4729
- Phone Number
- 541-617-8769
- Fax Number
- 541-668-6772
Provider Business Mailing Address Details
- Address
- 1757 NW Fields St
Bend, OR 97703-7317 - City
- Bend
- State
- OR
- Zip
- 97703-7317
- Phone Number
- 541-604-0548
- Fax Number
- 541-668-6772
License Information
- Taxonomy
- Occupational Therapist, Pediatrics · 225XP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Blossom Therapeutics, LLC?
The NPI number of Blossom Therapeutics, LLC is 1700354040. It was assigned on November 5, 2018 and is currently active in the NPPES registry.
What is the specialty of Blossom Therapeutics, LLC?
Blossom Therapeutics, LLC is registered under the primary taxonomy Occupational Therapist, Pediatrics (code 225XP0200X).
Where does Blossom Therapeutics, LLC practice?
The practice location is 408 NE Hawthorne Ave, Bend, OR 97701-4729. The office can be reached at 541-617-8769 (phone) or 541-668-6772 (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 1700354040 directly on the NPPES registry website.