CATHERINE C BLACK

SPOKANE, WA
NPI1780613018
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10004690)
Additional Taxonomies363A00000X Physician Assistant
(Licence: OR  PA159129)
363A00000X Physician Assistant
(Licence: AZ  7072)
363AM0700X Physician Assistant, Medical
(Licence: WA  PA10004690)
363AS0400X Physician Assistant, Surgical
(Licence: WA  PA10004690)
Enumeration Date2006-06-30
Last Update Date2024-10-21
Business Address
CATHERINE C BLACK PA-C
212 E CENTRAL AVE STE 240
SPOKANE, WA 99208-6597
Phone number: 509-455-8820
Mailing Address
CATHERINE C BLACK PA-C
PO BOX 331
LIBERTY LAKE, WA 99019-0331
Phone number: 866-747-2455