Individual
JENNIFER ANN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
Taxonomy
Speciality
Code
Description
License number
State
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
MD.MD.60557164
WA
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
MD171752
OR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
A68013
CA
Other
Enumeration date
11/29/2006
Last updated
08/05/2026
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