DESIRAE BLOOMQUIST NP

Individual Provider (NPI-1) Active

Nurse Practitioner

Provider Information

Registered Nurse License: WA #RN60766318

Nurse Practitioner, Family License: WA #ap60909323

Nurse Practitioner Primary License: OR #202108299NP-PP

MAILING

442 S BLAKELEY ST

MONROE, WA, 982722207

LOCATION

3377 RIVERBEND DR

SPRINGFIELD, OR, 974778803