Individual
JAMES BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29197 SW ORLEANS AVE APT 111, WILSONVILLE, OR 97070-7389
(503) 427-0182
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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