Active NPIIndividual provider

Serena S Black, MD

Pediatrics in Springfield, Oregon

NPI Number1508007675
Practice location
3377 Riverbend Dr, Springfield, OR 97477-8803
Fax
—
Last updated
August 17, 2026

Serena S Black, MD is a Pediatrics based in Springfield, OR. Serena S Black, MD holds the professional credentials of MD. The NPI number for Serena S Black, MD is 1508007675 and holds license No. MD154349 (OR). The current practice location address is 3377 Riverbend Dr, Springfield, OR 97477-8803 and the office can be reached by phone at 541-222-8500. The NPI was assigned on March 18, 2009 and the record was last updated in NPPES on August 17, 2026.

●Provider Profile Details

NPI Number
1508007675
Provider Name
Serena Star Black
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Enumeration Date
March 18, 2009
Last Update Date
August 17, 2026
Certification Date
August 17, 2026
NPI Status
Active

◉Business Practice Location Address

Address
3377 Riverbend Dr
Springfield, OR 97477-8803
State
Oregon
ZIP
97477-8803
Country
US
Phone Number
541-222-8500

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✉Business Mailing Address

Address
Po Box 24410
Eugene, OR 97402-0451
City
Eugene
State
OR
ZIP
97402-0451

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Pediatrics208000000XYesMD154349OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Serena S Black, MD?

The NPI number of Serena S Black, MD is 1508007675. It was assigned on March 18, 2009 and is currently active in the NPPES registry.

What is the specialty of Serena S Black, MD?

Serena S Black, MD is registered under the primary taxonomy Pediatrics (code 208000000X) and holds license No. MD154349 (OR).

Where does Serena S Black, MD practice?

The practice location is 3377 Riverbend Dr, Springfield, OR 97477-8803. The office can be reached at 541-222-8500 (phone).

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 1508007675 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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