ANGELA BLACK, PA
Physician Assistant
Active
Individual
NPI: 1710063110
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA00941 (OR) |
Frequently Asked Questions
NPI 1710063110 is the National Provider Identifier for ANGELA BLACK, PA, a Physician Assistant provider located in Tigard, OR. This NPI was enumerated on October 27, 2006.
ANGELA BLACK, PA practices at 11900 SW GREENBURG RD, Tigard, OR 97223.
Quick Facts
- NPI
- 1710063110
- Type
- Individual
- Enumerated
- Oct 27, 2006
- Last Updated
- Mar 7, 2023
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