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

Mrs. Juanita Bloom

Individual provider Massage Therapist · NPI 1700241197

Mrs. Juanita Bloom is a Massage Therapist in Molalla, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2015
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Practice location Address checks out

207 E Heintz St
Molalla, OR 97038-7324
Phone: (503) 960-6920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 20230 (OR)

Record details

NPI number1700241197
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 29, 2015
Last updated in NPPESDecember 29, 2015

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