Angela Marie Black, PA

NPI #1710063110 in Tigard, Oregon

Provider Information

NPI Number
1710063110
Entity Type
Individual
Name
Angela Marie Black, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Oct 27, 2006
Last Updated
Mar 7, 2023

Practice Location

Address
11900 SW GREENBURG RD
City
Tigard
State
Oregon
ZIP Code
97223-6453
Phone
(503) 620-5556

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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