Patrick William Black
NPI #1861126583 in Shoreline, Washington
Provider Information
- NPI Number
- 1861126583
- Entity Type
- Individual
- Name
- Patrick William Black
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician, Other
- Enumeration Date
- Jul 11, 2022
- Last Updated
- Jul 11, 2022
Practice Location
- Address
- 16715 AURORA AVE N STE 102
- City
- Shoreline
- State
- Washington
- ZIP Code
- 98133-5310
- Phone
- (206) 546-9766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician, Other |
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