Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE BLOOMQUIST
ActiveBLAKE BLOOMQUIST is a Case Manager healthcare provider located in MEDFORD, Oregon. NPI 1932510583 is currently active in the NPPES registry. Verify at CMS.
Case Manager · MEDFORD, OR
Registration Details
- NPI Number
- 1932510583
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2014 (12.263985383318 yrs)
- Last Updated
- Oct 14, 2021
Practice Information
- Address
-
503 AIRPORT RD STE 101MEDFORD, OR, 975044159Browse OR providers · Browse ZIP 97504
- Phone
- 5412002900
- Fax
- 5412002948
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| CLAUDIA CHAVES | LPC; MFT | 1518297126 |
| MRS. YVONNE MELINDA SHAFER | — | 1023312543 |
| SHELLI PIVER | — | 1336443605 |
| CHRISTINE SEIDL FORSYTHE | BS | 1710281068 |
| LORNA DIANE ANDERSON | — | 1891099123 |
| EVONNE MAXINE HUBBARD | — | 1720382831 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.