Individual
MRS. KAREN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3901 UNICK RD, FERNDALE, WA 98248-9003
(360) 384-8329
(360) 384-8465
Mailing address
16437 NE 29TH ST, BELLEVUE, WA 98008-2113
(360) 384-8329
(360) 384-8465
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003189
WA
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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