NPI 1053970020
Emma Rose Bloomquist
Practice location
- Address
- 3552 Lone Pine Rd, Medford, OR 97504-5637
- Phone
- (541) 613-3400
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1053970020
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jun 2019
- Record last updated
- 26 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.