MEDICARE: VERONICA BLUMBERG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1598160913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERONICA BLUMBERG

Provider Business Mailing Address
First Line	:	360 E 10TH AVE STE 450
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-3273
Country	:	US
Telephone Number	:	541-687-6983
Fax Number	:

Provider Business Practice Location Address
First Line	:	360 E 10TH AVE STE 450
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-3273
Country	:	US
Telephone Number	:	541-687-6983
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2014
Last Update Date	:	03/09/2023

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Directions to “ VERONICA BLUMBERG ” Practice Location

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