Dr. ELISABETH BLOOM Psy.D.
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1902246010- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Psy.D.
- Status
- Active
Contact & Location
- Address
- 2330 NW FLANDERS ST STE 107, PORTLAND, OR, 972103400
- Phone
- (917) 727-0825
Specialties & Taxonomies
Psychologist, Clinical
Primary License: OR #3072
Psychologist, Clinical
License: WA #61425975
Psychologist, Clinical
License: NY #021321