CHRISTOPHER MICHAEL BLACK

PORTLAND, OR
NPI1578036711
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-01-10
Last Update Date2019-01-10
Business Address
CHRISTOPHER MICHAEL BLACK
2333 SE 45TH AVE
PORTLAND, OR 97215-3729
Phone number: 503-358-6124
Mailing Address
CHRISTOPHER MICHAEL BLACK
2333 SE 45TH AVE
PORTLAND, OR 97215-3729
Phone number:
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