Black Stone Health PC

NPI #1457764961 in Corvallis, Oregon

Provider Information

NPI Number
1457764961
Entity Type
Organization
Organization Name
Black Stone Health PC
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Jun 3, 2014
Last Updated
Apr 27, 2016

Practice Location

Address
2358 NW KINGS BLVD
Address 2
SUITE 100
State
Oregon
ZIP Code
97330
Phone
(541) 368-5986

Authorized Official

Name
MARC MUSSON, DO
Title
OWNER
Phone
(513) 658-8605

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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