Individual
MR. TIMOTHY BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
200 NE MOTHER JOSEPH PL, SUITE 110, VANCOUVER, WA 98664
(360) 254-6161
(360) 449-1146
Mailing address
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664-3295
(360) 254-6161
(360) 449-1146
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60650228
WA
363AS0400X
Surgical Physician Assistant
Primary
—
WA
Other
Enumeration date
01/05/2006
Last updated
08/07/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us