Healthcare Provider Details

I. General information

NPI: 1013821800
Provider Name (Legal Business Name): HARMONY BLOOM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1870 NE LINCOLN ST
HILLSBORO OR
97124-3574
US

IV. Provider business mailing address

1870 NE LINCOLN ST
HILLSBORO OR
97124-3574
US

V. Phone/Fax

Practice location:
  • Phone: 919-523-8866
  • Fax: 919-523-8866
Mailing address:
  • Phone: 919-523-8866
  • Fax: 919-523-8866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: MIHERET ALEMAYEHU
Title or Position: OWNER/ADMIN
Credential:
Phone: 240-885-9297