DR. ALEX BLOOM (NPI# 1124357306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124357306 |
| Entity Type | Individual |
| Full Name | DR. ALEX BLOOM |
| Credential | PSY.D. |
| Practice Address |
1500 Nw Bethany Blvd Suite 320 Beaverton OR 97006-5208 |
| Mailing Address |
Po Box 82819 Portland OR 97282-0819 |
| Practice Telephone | 5035673260 |
| Practice Fax Number | 5035673264 |
| Mailing Telephone | 5032335405 |
| Mailing Fax Number | 5032332696 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2013-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2330 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 164936 | 05 | |
| MEDICARE GROUP | R0000WDBCH | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346534278 | Alex Bloom | Internal Medicine | 2007 Wilshire Blvd Ste 701, Los Angeles, CA 90057-3579 | 2011-06-08 |
| Street Address |
1500 NW BETHANY BLVD SUITE 320 |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97006-5208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821056250 | Seth Colner | Chiropractor | 1500 Nw Bethany Blvd, Suite 135, Beaverton, OR 97006-5208 | 2006-05-03 |
| 1306381207 | Dana Gieszler | Counselor | 1500 Nw Bethany Blvd, 320, Beaverton, OR 97006-5208 | 2016-12-30 |
| 1316305121 | Sari Matisoff | Registered Nurse | 1500 Nw Bethany Blvd, Beaverton, OR 97006-5208 | 2016-02-08 |
| 1508221227 | Alice Berry | Specialist/Technologist, Other | 1500 Nw Bethany Blvd, Suite 200, Beaverton, OR 97006-5208 | 2015-12-22 |
| 1437521788 | Recovery Partners, P.C. | Psychologist | 1500 Nw Bethany Blvd, Suite 240, Beaverton, OR 97006-5208 | 2015-10-27 |
| 1255700134 | Heather Fogg | Counselor | 1500 Nw Bethany Blvd, Suite 320, Beaverton, OR 97006-5208 | 2015-09-21 |
| 1770977498 | Tamara Stewart | Behavioral Analyst | 1500 Nw Bethany Blvd, Suite 320, Beaverton, OR 97006-5208 | 2015-03-19 |
| 1205239423 | Laurie Muhlbauer | Registered Nurse | 1500 Nw Bethany Blvd, Ste 320, Beaverton, OR 97006 | 2014-10-01 |
| 1366864357 | Heather Anne Harrison | Counselor | 1500 Nw Bethany Blvd, Suite 200, Beaverton, OR 97006-5208 | 2014-01-10 |
| 1114355484 | Joy Mayer Gulseth | Counselor | 1500 Nw Bethany Blvd, Suite 320, Beaverton, OR 97006-5208 | 2013-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184238727 | Hayden Alexander Meriwether | Dentist | 17895 Ne Evergreen Pkwy, #100, Beaverton, OR 97006 | 2020-09-01 |
| 1336781202 | Courtney Rae Murata | Behavior Technician | 337 Nw 215th Terrace, Apt, 106, Hillsboro, OR 97006 | 2019-10-11 |
| 1992355986 | Pamela J. Viado | Technician | 1220 Nw Weybridge Way, Beaverton, OR 97006 | 2019-09-12 |
| 1477115384 | One Change Group | Community/Behavioral Health | 2499 Nw 206th Ave, Apt A233, Hillsboro, OR 97006 | 2019-07-01 |
| 1649731332 | Regina C. Rizo | Social Worker | 1925 Amberglen Parkway, #3a-131, Hillsboro, OR 97006 | 2019-03-26 |
| 1043731912 | Elizabeth A Cintron | Occupational Therapy Assistant | 1189 Ne 89th Ave Apt 305, Hillsboro, OR 97006 | 2017-06-30 |
| 1265979173 | Lindsay Jensen | Massage Therapist | 15220 Nw Greenbrier Pkwy Ste 260, Beaverton, OR 97006 | 2017-01-30 |
| 1851835722 | Changepoint, Inc | Clinic/Center | 1700 Nw 167th Place, Suite 240, Beaverton, OR 97006 | 2016-12-13 |
| 1689126302 | Occupational Health Centers of The Southwest, P.a. (tx) | Clinic/Center | 2225 Nw Towncenter Drive, Beaverton, OR 97006 | 2016-10-28 |
| 1558717413 | Dillon Duvall | Physical Therapist | 16895 Nw Cornell Rd, #110, Beaverton, OR 97006 | 2016-05-10 |
| Find all providers in zip 97006 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659916401 | Northwest Child Assessment, LLC | Psychologist | 8228 Sw 171st Pl, Beaverton, OR 97007-6787 | 2019-11-14 |
| 1801445952 | Tamara Tasker | Psychologist | 9244 Sw 149th Ave, Beaverton, OR 97007-8558 | 2019-09-10 |
| 1598047045 | Dianna Harris | Psychologist | 10700 Sw Beaverton Hillsdale Hwy Ste 460, Beaverton, OR 97005-4736 | 2011-09-11 |
| 1457529190 | Laurel Ellen Hughes | Psychologist | 13725 Sw Berthold St, Beaverton, OR 97005-4353 | 2008-02-15 |
| 1538364617 | Kathryn Elizabeth Marshall | Psychologist | 1140 Sw 160th Ave, Beaverton, OR 97006-5055 | 2007-06-18 |
| 1417174020 | Joe D Wood Jr. | Psychologist | 11160 Sw Wood Duck Pl, Beaverton, OR 97007-8295 | 2007-04-18 |
| 1003936196 | Allan F. Chino | Psychologist | 195 Sw 144th Ave, Beaverton, OR 97006-5954 | 2007-03-30 |
| 1508993809 | Erica Heather Vo | Psychologist | 6107 Sw Murray Blvd # 306, Beaverton, OR 97008-4421 | 2007-02-27 |
| 1356499008 | Steven Malone | Psychologist | 3800 Sw Cedar Hills Blvd Ste 229, Beaverton, OR 97005-4761 | 2007-01-08 |
| 1396850129 | Deborah Lee Winer | Psychologist | 10700 S.w. Beaverton-hillsdale Highway, Suite 500, Beaverton, OR 97005-3037 | 2006-08-20 |
| Find all providers in BEAVERTON | ||||
Please comment or provide details below to improve the information on DR. ALEX BLOOM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.