DOUGLAS LEE BLACK LMP NPI 1295855138

NPI Information

  • NPI: 1295855138
  • Provider Name: DOUGLAS LEE BLACK, LMP
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 16906 SE 1ST ST STE 103
    VANCOUVER, WA
    ZIP 98684
  • Phone: (360) 903-9963

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NPI Details

Douglas Lee Black, LMP is a massage therapist in Vancouver, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Douglas Lee Black, LMP NPI is 1295855138. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16906 SE 1ST ST STE 103
VANCOUVER, WA
ZIP 98684-512
Phone: (360) 903-9963

The enumeration date for this NPI number is 3/31/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMA00011374WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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