DAN BLACK

PORTLAND, OR
NPI1619150620
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2007-12-12
Last Update Date2007-12-12
Business Address
-- DAN BLACK
1500 NE IRVING ST 250
PORTLAND, OR 97232-2243
Phone number: 503-233-4356
Mailing Address
-- DAN BLACK
1108 JEFFERSON ST
OREGON CITY, OR 97045-1673
Phone number:
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