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1780737106
JOSEPH L BLACK
PORTLAND, OR
NPI
1780737106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD13149)
Enumeration Date
2007-01-19
Last Update Date
2012-10-04
Business Address
Dr. JOSEPH L BLACK MD
3303 SW BOND AVE FAMILY MEDICINE SOUTH WATERFRONT CLINIC
PORTLAND, OR 97239-4501
Phone number: 503-494-6616
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Mailing Address
Dr. JOSEPH L BLACK MD
3181 SW SAM JACKSON PARK RD FAMILY MEDICINE, MAIL CODE FM
PORTLAND, OR 97239-3011
Phone number: 503-494-6616
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