Individual provider · Type 1 NPI

Dan Black

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1619150620 Active

Practice location

1500 NE Irving St, 250
Portland, OR 97232-2243

Call (503) 233-4356 Map

Mailing address

1108 Jefferson St
Oregon City, OR 97045-1673

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1619150620

Dan Black's National Provider Identifier is 1619150620, issued on Dec 12, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Dec 12, 2007.