Individual
ANDREA BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
214 PINE STREET, OKANOGAN, WA 98840
(509) 422-3700
(509) 422-3701
Mailing address
PO BOX 1039, OKANOGAN, WA 98840-1039
(509) 422-3700
(509) 422-3701
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
NT00000538
WA
175F00000X
Naturopath
Primary
NT00000538
WA
Other
Enumeration date
03/29/2007
Last updated
09/11/2025
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