Angela M Black, PA
Physician Assistant in Tigard, Oregon
1710063110- Practice location
- 11900 SW Greenburg RD, Tigard, OR 97223-6453
- Phone
- 503-620-5556
- Fax
- 503-624-0118
- Last updated
- March 7, 2023
Angela M Black, PA is a Physician Assistant based in Tigard, OR. Angela M Black, PA holds the professional credentials of PA. The NPI number for Angela M Black, PA is 1710063110 and holds license No. PA00941 (OR). The current practice location address is 11900 SW Greenburg RD, Tigard, OR 97223-6453 and the office can be reached by phone at 503-620-5556 and by fax at 503-624-0118. The NPI was assigned on October 27, 2006 and the record was last updated in NPPES on March 7, 2023.
●Provider Profile Details
- NPI Number
- 1710063110
- Provider Name
- Angela Marie Black
- Credential
- PA
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Enumeration Date
- October 27, 2006
- Last Update Date
- March 7, 2023
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 11900 SW Greenburg RD
Tigard, OR 97223-6453 - City
- Tigard
- State
- Oregon
- ZIP
- 97223-6453
- Country
- US
- Phone Number
- 503-620-5556
- Fax Number
- 503-624-0118
✉Business Mailing Address
- Address
- 11900 SW Greenburg RD
Tigard, OR 97223-6453 - City
- Tigard
- State
- OR
- ZIP
- 97223-6453
- Phone Number
- 503-620-5556
- Fax Number
- 503-624-0118
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA00941 | 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 Tigard →?Frequently Asked Questions
What is the NPI number of Angela M Black, PA?
The NPI number of Angela M Black, PA is 1710063110. It was assigned on October 27, 2006 and is currently active in the NPPES registry.
What is the specialty of Angela M Black, PA?
Angela M Black, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X) and holds license No. PA00941 (OR).
Where does Angela M Black, PA practice?
The practice location is 11900 SW Greenburg RD, Tigard, OR 97223-6453. The office can be reached at 503-620-5556 (phone) or 503-624-0118 (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 1710063110 directly on the NPPES registry website at npiregistry.cms.hhs.gov.