NPI 1164482949

Tammy Lee Bloom, MD

Practitioner Urology Physician Vancouver, WA

Practice location

Address: 2525 NE 139th St STE 220, Vancouver, WA 98686-2719
Phone: (360) 397-4437
Mailing address: PO Box 4825, Portland, OR 97208-4825

Registered specialties (2)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD60525316 (WA)

Other Urology providers in Washington →

Urology Physician

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 37480-020 (WI)

Registry record

NPI: 1164482949
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2006
Record last updated: 4 Apr 2023

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.