Provider Demographics
NPI:1528585098
Name:BLUME, TORI ANN (DOULA)
Entity Type:Individual
Prefix:
First Name:TORI
Middle Name:ANN
Last Name:BLUME
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 RUBY CT
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:WA
Mailing Address - Zip Code:98520-6723
Mailing Address - Country:US
Mailing Address - Phone:360-500-0899
Mailing Address - Fax:
Practice Address - Street 1:1118 RUBY CT
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:WA
Practice Address - Zip Code:98520-6723
Practice Address - Country:US
Practice Address - Phone:360-500-0899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN