Terry Black in Portland - Registered Nurse

Terry Black - NPI 1902843584

Terry Black is a Registered Nurse in Portland, Oregon. Terry Black practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Terry Black is 1902843584. The last update date is 2007-11-20.

Terry Black's current location address is Po Box 4008, Portland, Oregon. You can contact this provider via phone number 5033722740 and fax number 5033722754. The mailing address for Terry Black is Po Box 4008, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Terry Black
Address Po Box 4008, Portland, Oregon
Phone Number 5033722740
Fax Number 5033722754
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1902843584
Provider Enumeration Date 2006-06-01
Last Updated Date 2007-11-20

Provider Mailing Address Detail

Address Po Box 4008
City Portland
State Oregon (OR)
Post Code 972084008
Phone Number 5033722740
Fax Number 5033722754

Provider's Primary Taxonomy Detail

Speciality Registered Nurse
Taxonomy 163W00000X
Licence No N22112
Definition:
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of

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FAQs about Terry Black

What is the unique provider identifier assigned to Terry Black?

The Terry Black has been issued the NPI (National Provider Identifier) 1902843584 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Terry Black's facilities are situated?

The facilities of Terry Black are physically located at the following address: Po Box 4008, Portland, OR, 972084008.

What is Terry Black's area of expertise and its corresponding taxonomy classification?

The Terry Black's field of specialization is Registered Nurse, and it falls under the taxonomy code 163W00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1902843584 to Terry Black?

The Centers for Medicare & Medicaid Services originally issued the 1902843584 to Terry Black on 2006-06-01.

As of what date was the information pertaining to Terry Black, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Terry Black, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-20.

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