Andrew A Black, LMT
Massage Therapist in Lake Oswego, Oregon
1063838720- Practice location
- 14511 Westlake Dr Ste 100, Lake Oswego, OR 97035-7727
- Phone
- 503-598-8099
- Fax
- 503-598-3980
- Last updated
- January 16, 2019
Andrew A Black, LMT is a Massage Therapist based in Lake Oswego, OR. Andrew A Black, LMT holds the professional credentials of LMT. The NPI number for Andrew A Black, LMT is 1063838720 and holds license No. 19070 (OR). The current practice location address is 14511 Westlake Dr Ste 100, Lake Oswego, OR 97035-7727 and the office can be reached by phone at 503-598-8099 and by fax at 503-598-3980. The NPI was assigned on March 5, 2014 and the record was last updated in NPPES on January 16, 2019.
●Provider Profile Details
- NPI Number
- 1063838720
- Provider Name
- Andrew Allen Black
- Credential
- LMT
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Massage Therapist · 225700000X
- Sole Proprietor
- No
- Enumeration Date
- March 5, 2014
- Last Update Date
- January 16, 2019
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 14511 Westlake Dr Ste 100
Lake Oswego, OR 97035-7727 - City
- Lake Oswego
- State
- Oregon
- ZIP
- 97035-7727
- Country
- US
- Phone Number
- 503-598-8099
- Fax Number
- 503-598-3980
✉Business Mailing Address
- Address
- 6145 SW Shannon CT
Beaverton, OR 97008-4668 - City
- Beaverton
- State
- OR
- ZIP
- 97008-4668
- Phone Number
- 503-598-8099
- Fax Number
- 503-598-3980
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes | 19070 | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Lake Oswego →?Frequently Asked Questions
What is the NPI number of Andrew A Black, LMT?
The NPI number of Andrew A Black, LMT is 1063838720. It was assigned on March 5, 2014 and is currently active in the NPPES registry.
What is the specialty of Andrew A Black, LMT?
Andrew A Black, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X) and holds license No. 19070 (OR).
Where does Andrew A Black, LMT practice?
The practice location is 14511 Westlake Dr Ste 100, Lake Oswego, OR 97035-7727. The office can be reached at 503-598-8099 (phone) or 503-598-3980 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063838720 directly on the NPPES registry website at npiregistry.cms.hhs.gov.