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

Dr. Alex Bloom, PSYD

Individual provider Clinical Psychologist · NPI 1124357306

Dr. Alex Bloom, PSYD is a Clinical Psychologist in Beaverton, Oregon. Qualified in 2011, 15 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
15
Licensed in
OR
In the registry since
2009
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

8285 SW Nimbus Ave Ste 130
Beaverton, OR 97008-6428
Phone: (503) 610-2044
Fax: (503) 296-2102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2330 (OR)

Record details

NPI number1124357306
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedDecember 16, 2009
Last updated in NPPESMay 20, 2022
Certification dateMay 20, 2022
Mailing address399 E 10th Ave, Eugene, OR 97401-3380

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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