Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 1006341 | OR |
N | 225X00000X | Occupational Therapist | OT00002851 | WA |
N | 2251E1200X | Ergonomics | 1006341 | OR |
N | 225XE1200X | Ergonomics | 1006341 | OR |
N | 2251E1200X | Ergonomics | OT00002851 | WA |
N | 225XE1200X | Ergonomics | OT00002851 | WA |
NPI | 1891962742 |
---|---|
Provider Name | Ms. Catherine Ann Bloome |
First Address | Portland, OR 97213-3630 |
Second Address | Portland, OR 97213-3630 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2008 |
Last Update Date | 03/03/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
500629360 | (05) | OR |