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1922966241 NPI number — BLOSSOM PSYCHIATRIC CARE LLC

NPI Number: 1922966241
Health Care Provider/Practitioner: BLOSSOM PSYCHIATRIC CARE LLC

Information about “1922966241” NPI (BLOSSOM PSYCHIATRIC CARE LLC) exists in 1922966241 in HTML format HTML  |  1922966241 in plain Text format TXT  |  1922966241 in PDF (Portable Document Format) PDF  |  1922966241 in an XML format XML  formats.

NPI Number : 1922966241 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922966241",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BLOSSOM PSYCHIATRIC CARE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "528 COTTAGE ST NE STE 340",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALEM",
    "MailingAddressStateName": "OR",
    "MailingAddressPostalCode": "97301-3788",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "503-584-1941",
    "MailingAddressFaxNumber": "833-923-0129",
    "FirstLinePracticeLocationAddress": "528 COTTAGE ST NE STE 340",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SALEM",
    "PracticeLocationAddressStateName": "OR",
    "PracticeLocationAddressPostalCode": "97301-3788",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "503-584-1941",
    "PracticeLocationAddressFaxNumber": "833-923-0129",
    "EnumerationDate": "01/14/2026",
    "LastUpdateDate": "01/14/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ERICKSON",
    "AuthorizedOfficialFirstName": "ANNE",
    "AuthorizedOfficialMiddleName": "MARIE",
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "PMHNP-BC",
    "AuthorizedOfficialTelephoneNumber": "503-584-1941",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LP0808X",
        "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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