Blake Bloomquist
Blake Bloomquist is a Case Manager/Care Coordinator in Medford, Oregon. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
503 Airport Rd Ste 101Medford, OR 97504-4159
Phone: (541) 200-2900
Fax: (541) 200-2948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1932510583 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 16, 2014 |
| Last updated in NPPES | October 14, 2021 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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