Dr. Alex Bloom, PSYD
Psychologist, Clinical in Beaverton, Oregon
1124357306- Practice location
- 8285 SW Nimbus Ave Ste 130, Beaverton, OR 97008-6428
- Phone
- 503-610-2044
- Fax
- 503-296-2102
- Last updated
- May 20, 2022
Dr. Alex Bloom, PSYD is a Psychologist, Clinical based in Beaverton, OR. Dr. Alex Bloom, PSYD holds the professional credentials of PSYD. The NPI number for Dr. Alex Bloom, PSYD is 1124357306 and holds license No. 2330 (OR). The current practice location address is 8285 SW Nimbus Ave Ste 130, Beaverton, OR 97008-6428 and the office can be reached by phone at 503-610-2044 and by fax at 503-296-2102. The NPI was assigned on December 16, 2009 and the record was last updated in NPPES on May 20, 2022.
●Provider Profile Details
- NPI Number
- 1124357306
- Provider Name
- Alex Bloom
- Credential
- PSYD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Enumeration Date
- December 16, 2009
- Last Update Date
- May 20, 2022
- Certification Date
- May 20, 2022
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 8285 SW Nimbus Ave Ste 130
Beaverton, OR 97008-6428 - City
- Beaverton
- State
- Oregon
- ZIP
- 97008-6428
- Country
- US
- Phone Number
- 503-610-2044
- Fax Number
- 503-296-2102
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Psychologist, Clinical | 103TC0700X | Yes | 2330 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Beaverton →?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) and holds license No. 2330 (OR).
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 at npiregistry.cms.hhs.gov.