Individual provider · Type 1 NPI

Elissa Michelle Black, PA-C

Physician Assistant · Spokane, WA

NPI number 1659896892 Active

Practice location

105 W 8th Ave Ste 122C
Spokane, WA 99204-2302

Call (509) 474-5725 Map

Mailing address

PO Box 31001-4114
Pasadena, CA 91110-4114

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.PA.61588597 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1659896892

Elissa Michelle Black, PA-C's National Provider Identifier is 1659896892, issued on Aug 9, 2017. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Spokane, WA. The record was last updated on Oct 13, 2026.