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

MS. Jaclyn Lee Bloom, COTA

Individual provider Occupational Therapy Assistant · NPI 1932392867

MS. Jaclyn Lee Bloom, COTA is an Occupational Therapy Assistant in Milwaukie, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

4560 SE International Way Ste 100 Consonus Healthcare Services
Milwaukie, OR 97222
Phone: (971) 206-5149
Fax: (971) 206-5209
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Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 00000055 (OR)

Record details

NPI number1932392867
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedAugust 23, 2007
Last updated in NPPESAugust 23, 2007
Mailing address4560 Se International Way, Suite 100 Consonus Healthcare Services, Milwaukie, OR 97222

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