PETER K BLACK

VANCOUVER, WA
NPI1265460406
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine
(Licence: WA  MD61439872)
Additional Taxonomies2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine
(Licence: OR  MD24481)
207R00000X Internal Medicine
(Licence: WA  MD61439872)
Enumeration Date2006-06-28
Last Update Date2023-07-03
Business Address
PETER K BLACK MD
8716 E MILL PLAIN BLVD
VANCOUVER, WA 98664-2531
Phone number: 360-514-4325
Mailing Address
PETER K BLACK MD
PO BOX 3395
PORTLAND, OR 97208-3395
Phone number: