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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLOOM DAVIS
NPI 1366354920
Social Worker in Portland, OR

Active since September 18, 2026
4110 NE 122ND AVE STE 115, PORTLAND, OR 97230(971) 227-3553 Get Directions Write a Review

NPPES record added: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Bloom Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLOOM DAVIS (NPI 1366354920) is an individual social worker in Portland, Oregon and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1366354920
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameBLOOM DAVIS
Location Address4110 NE 122ND AVE STE 115Portland, OR 97230-1384
Mailing Address4512 Ne Wygant StPortland, OR 97218-1648 · (971) 319-5059
Phone(971) 227-3553
Sole ProprietorNo
Enumeration DateSeptember 18, 2026
NPPES CertifiedSeptember 18, 2026
✔ NPI 1366354920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
4110 NE 122ND AVE STE 115, Portland, OR 97230
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA THOMAS
Student in an Organized Health Care Education/Training Program
4110 NE 122ND AVE STE 115
PORTLAND, OR 97230
Multnomah County (971) 227-3553
MARKIE NICOLE ARMSTRONG
Social Worker
4110 NE 122ND AVE STE 115
PORTLAND, OR 97230
Multnomah County (503) 490-0405
MS. SHARNISSA SECRETT LCSW
Social Worker (Clinical)
4110 NE 122ND AVE STE 115
PORTLAND, OR 97230
Multnomah County (503) 756-3997
PRIYA SRIKANTH
Counselor
4110 NE 122ND AVE STE 115
PORTLAND, OR 97230
Multnomah County (971) 227-3553
CEMENTED ROSE THERAPEUTICS, LLC
Social Worker (Clinical)
4110 NE 122ND AVE STE 115
PORTLAND, OR 97230
Multnomah County (971) 227-3553
JULIA KOHN-BROWN
Social Worker
4110 NE 122ND AVE STE 115
PORTLAND, OR 97230
Multnomah County (971) 319-5059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bloom Davis's NPI number?

The NPI number for Bloom Davis is 1366354920. It was assigned to this individual provider in the NPPES registry on September 18, 2026.

Where is Bloom Davis located?

Bloom Davis practices at 4110 NE 122nd Ave Ste 115, Portland, OR 97230. The listed phone number is (971) 227-3553.

What is Bloom Davis's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Bloom Davis was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.