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

Full Bloom Natural Medicine, LLC

Organization Primary Care Clinic/Center · NPI 1871153585

Full Bloom Natural Medicine, LLC is a Primary Care Clinic/Center in Corvallis, Oregon. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

922 NW Circle Blvd Ste 180
Corvallis, OR 97330-1483
Phone: (541) 224-6738
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1871153585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Boucher — Dr. · (541) 224-6738
Other names Full Bloom Natural Medicine; Full Bloom Natural Medicine; Mary J Boucher, Nd
NPI enumeratedJune 14, 2019
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019
Mailing address922 Nw Circle Blvd Ste 180, Corvallis, OR 97330-1483

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