Darra Black in Portland - Physical Therapy Assistant
Darra Black - NPI 1821250093
Darra Black is a Physical Therapy Assistant in Portland, Oregon. Darra Black practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Darra Black is 1821250093. The last update date is 2008-06-30.
Darra Black's current location address is 17111 Se Bush St, Portland, Oregon. You can contact this provider via phone number 5034651031. The mailing address for Darra Black is 17111 Se Bush St, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darra Black |
|---|---|
| Address | 17111 Se Bush St, Portland, Oregon |
| Phone Number | 5034651031 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LPTA |
NPI Number Detail
| NPI Number | 1821250093 |
|---|---|
| Provider Enumeration Date | 2008-06-30 |
| Last Updated Date | 2008-06-30 |
Provider Mailing Address Detail
| Address | 17111 Se Bush St |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972361260 |
| Phone Number | 5034651031 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | 7725 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Darra Black by the Centers for Medicare & Medicaid Services?
The Darra Black has been assigned the NPI (National Provider Identifier) 1821250093 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Darra Black?
The Darra Black is situated at 17111 Se Bush St, in the city of Portland, state of OR, with the zip code 972361260.
What is the Darra Black's area of specialization and corresponding taxonomy classification?
The Darra Black's specialty field is Physical Therapy Assistant, and it falls under the taxonomy code 225200000X, which categorizes healthcare providers based on their specialties.
On what date was the 1821250093 assigned to Darra Black?
The Darra Black was issued its 1821250093 on 2008-06-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Darra Black last refreshed?
The information related to the Darra Black, including its address, specialty, and other relevant details, was last updated on 2008-06-30.