DAN BLACK NPI 1619150620

NPI Information

Dan Black is a student in an organized health care education training program in Portland, OR. The provider is 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. Dan Black NPI is 1619150620. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 NE IRVING ST
250
PORTLAND, OR
ZIP 97232-243
Phone: (503) 233-4356

The enumeration date for this NPI number is 12/12/2007 and was last updated on 12/12/2007.

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:

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