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

Individual provider Clinical Psychologist · NPI 1902246010

Dr. Elisabeth Bloom, PSYD is a Clinical Psychologist in Portland, Oregon. Practices as a sole proprietor. Licensed in New York, Oregon and Washington.

Licensed in
NY, OR, WA
In the registry since
2013
Specialties on file
3
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

2330 NW Flanders St Ste 107
Portland, OR 97210-3400
Phone: (917) 727-0825
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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 3072 (OR)
Clinical Psychologist Taxonomy 103TC0700X · Licence 61425975 (WA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 021321 (NY)

Record details

NPI number1902246010
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 3, 2013
Last updated in NPPESApril 22, 2024
Certification dateApril 22, 2024

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