OrganizationActive
Full Bloom Natural Medicine, LLC
NPI 1871153585 · Primary Care Clinic/Center · Corvallis, OR
Provider details
- NPI number
- 1871153585
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Mary Boucher, Dr.
Practice location
922 Nw Circle Blvd Ste 180
Corvallis, OR 97330-1483
Phone: (541) 224-6738
Mailing address
922 Nw Circle Blvd Ste 180
Corvallis, OR 97330-1483
Registry dates
- Enumerated
- 2019-06-14
- Last updated
- 2019-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.