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NPI Code Detail

MEDICARE: MARIAH BLOOM

MEDICARE: MARIAH BLOOM
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
1374J00000XDoulaWA

General Provider Information

NPI Number : 1568311421
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIAH BLOOM
Provider Business Mailing Address
First Line : 525 BELMONT AVE E APT 5C
Second Line :
City : SEATTLE
State : WA
Zip : 98102-6701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 525 BELMONT AVE E APT 5C
Second Line :
City : SEATTLE
State : WA
Zip : 98102-6701
Country : US
Telephone Number : 206-769-1306
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2026
Last Update Date : 01/24/2026

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Directions to “ MARIAH BLOOM ” Practice Location

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