Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloom Psychiatric, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1023684024

Bloom Psychiatric, LLC is a Psychiatric/Mental Health Nurse Practitioner in Vancouver, Washington. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4400 NE 77th Ave Ste 275
Vancouver, WA 98662-6857
Phone: (971) 813-9093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1023684024
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Terry — Owner · (971) 813-9093
NPI enumeratedJune 1, 2021
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021
Mailing address4400 Ne 77th Ave Ste 275, Vancouver, WA 98662-6857

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