ANGELA MARIE BLACK

TIGARD, OR
NPI1710063110
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA00941)
Enumeration Date2006-10-27
Last Update Date2023-03-07
Business Address
ANGELA MARIE BLACK PA
11900 SW GREENBURG RD
TIGARD, OR 97223-6453
Phone number: 503-620-5556
Mailing Address
ANGELA MARIE BLACK PA
11900 SW GREENBURG RD
TIGARD, OR 97223-6453
Phone number: 503-620-5556
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