JOHN BLOMBERG, PTA
Medical Practice at Glisan St, Portland, OR

License number
Oregon P1 60569439
Category
Medical Practice
Type
Community Health Worker
Address
Address 2
9750 NE Glisan St, Portland, OR 97220
11712 NW 38Th Ave, Vancouver, WA 98685
Phone
(503) 256-3920
National Provider ID: 1043682289
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
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(425) 778-4418
John Blomberg, age 73
17408 SE 16Th St, Vancouver, WA 98683
John Larry Blomberg
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