Active NPIIndividual provider

Nikki J Blossom

Counselor in Eugene, Oregon

NPI Number1326334756
Practice location
1170 Pearl St, Eugene, OR 97401-3541
Fax
541-743-4369
Last updated
June 23, 2011

Nikki J Blossom is a Counselor based in Eugene, OR. The NPI number for Nikki J Blossom is 1326334756. The current practice location address is 1170 Pearl St, Eugene, OR 97401-3541 and the office can be reached by phone at 541-743-4340 and by fax at 541-743-4369. The NPI was assigned on June 23, 2011 and the record was last updated in NPPES on June 23, 2011.

●Provider Profile Details

NPI Number
1326334756
Provider Name
Nikki Jean Blossom
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Enumeration Date
June 23, 2011
Last Update Date
June 23, 2011
NPI Status
Active
Other Names
-- Nikki Jean Wickland (Former Name)

◉Business Practice Location Address

Address
1170 Pearl St
Eugene, OR 97401-3541
City
Eugene
State
Oregon
ZIP
97401-3541
Country
US
Phone Number
541-743-4340
Fax Number
541-743-4369

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✉Business Mailing Address

Address
1170 Pearl St
Eugene, OR 97401-3541
City
Eugene
State
OR
ZIP
97401-3541
Phone Number
541-743-4340
Fax Number
541-743-4369

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor101Y00000XYes——

#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 Nikki J Blossom?

The NPI number of Nikki J Blossom is 1326334756. It was assigned on June 23, 2011 and is currently active in the NPPES registry.

What is the specialty of Nikki J Blossom?

Nikki J Blossom is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Nikki J Blossom practice?

The practice location is 1170 Pearl St, Eugene, OR 97401-3541. The office can be reached at 541-743-4340 (phone) or 541-743-4369 (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 1326334756 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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