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

John Blomberg, PTA

Individual provider Community Health Worker · NPI 1043682289

John Blomberg, PTA is a Community Health Worker in Portland, Oregon. Licensed in Washington. Registered with an NPI since 2015.

Licensed in
WA
In the registry since
2015
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

9750 NE Glisan St
Portland, OR 97220-4449
Phone: (503) 256-3920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence P1 60569439 (WA)

Record details

NPI number1043682289
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedOctober 27, 2015
Last updated in NPPESOctober 27, 2015
Mailing address11712 Nw 38th Ave, Vancouver, WA 98685-3550

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