Christopher Michael Black - Portland, OR

Christopher Michael Black

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1578036711

Christopher Michael Black is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Christopher Michael Black practices in Portland, OR. The NPI Number for Christopher Michael Black is 1578036711 and holds a License No. (Oregon).

The current practice location address for Christopher Michael Black is 2333 Se 45Th Ave, Portland, OR and can be reached out via phone at 503-358-6124.

Location: 2333 Se 45Th Ave, Portland, OR, 97215-3729

NPI Number

1578036711

Provider Name

Christopher Michael Black

Credential

Provider Entity Type

Individual

Gender

Male

Address

2333 Se 45Th Ave, Portland, OR, 97215-3729

Phone Number

503-358-6124

Fax Number

Provider Enumeration Date

01/10/2019

Last Update Date

03/10/2024

Address

2333 Se 45Th Ave

City

Portland

State

Oregon

Zip

97215-3729

Phone Number

503-358-6124

Fax Number

Address

2333 Se 45Th Ave

City

Portland

State

Oregon

Zip

97215-3729

Phone Number

503-358-6124

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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